Amanda Balser, OTR/L, ATP/SMS

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4056 Issued in MT

Practice address

202 Providence Mine Rd
Suite 206
Nevada City, CA 95959-2947

Phone

(530) 265-8100

Fax

(530) 265-8112

NPI assigned

Jan 4, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anderson Physical Therapy, Inc.

  • Physical Therapist
  • Nevada City, CA
  • NPI 1073724688
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1134499346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CAMPUS DR SKAGGS BLDG STE 129",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598120001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 PROVIDENCE MINE RD",
            "address_2": "SUITE 206",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592947",
            "telephone_number": "530-265-8100",
            "fax_number": "530-265-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSER",
        "first_name": "AMANDA",
        "credential": "OTR/L, ATP/SMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "6048",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "CA",
            "license": "6048",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "CA",
            "license": "6048",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "4056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Vernon Austin, PHD
• Autonomy Recovery Network
• Cynthia Sylvia Ayala
• Lillian Babb, PPS
• Benjamin Baker
• Breanne Christine Balser
• Craig Balser, PT
• Keith Merwin Banker Jr., MHRS
• Lauren Banks
• Robert M. Barker, CASI

• Occupational Therapist in Nevada City, CA
• Providers in Nevada City, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.