Amber Rose Seowtewa, OT
Individual provider Active NPI Occupational Therapist · Ganado, AZ
NPI 1124696109 · NPPES record last updated Jan 27, 2025
Key facts
- NPI
- 1124696109
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT-2024-0185 (NM)
- Practice address
- PO Box 457
Ganado, AZ 86505-0457 - Phone
- (928) 755-4566
- NPI assigned
- Jun 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 457
Ganado, AZ 86505
PO Box
Suite 457
Ganado, AZ 86505-0457
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251208003018 | AZ | Practitioner - Occupational Therapist in Private Practice | 7214421221 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-2024-0185 | NM | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Navajo Health Foundation-Sage Memorial Hospital Inc | Current |
Accepting new patients | |
| Navajo Health Foundation-Sage Memorial Hospital, Inc. | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-2024-0185 | NM | Yes |
Addresses
Primary practice location
PO Box 457
Ganado, AZ 86505-0457
Mailing address
PO Box 457
Ganado, AZ 86505-0457
Phone (928) 755-4500
Other providers in Ganado, AZ
- Muriel E Rosenfeld
- Sage Memorial Hospital
- Sage Memorial Hospital Behavioral Health Clinic
- Mark Charles Schermerhorn
- John Carlyle Schlabach
- Gail Stotsky
- Rona Lee Suen
- Aurelia Lois Taylor
- Caroline Tracey
- Violet Tsosie
All providers in Ganado, AZ · Occupational Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.