Active NPI
Amanda Kay Maas, OTR
- Occupational Therapist
- Kenosha, WI
National Provider Identifier
1144495805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5199-26
- Practice address
- 3100 Wahington Road
Kenosha, WI 53144 - Phone
- (262) 658-4074
- NPI assigned
- Apr 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1949-027 | WI | |
| Occupational Therapist | 225X00000X | 5199-26 | WI | Primary |
| Occupational Therapy Assistant | 224Z00000X | 5199-26 | WI |
Addresses
Primary practice location
3100 Wahington Road
Kenosha, WI 53144
Mailing address
3100 W. Wahington Rd
Kenosha, WI 53144
Phone (262) 658-4074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1949-027 | WI | MD | Occupational Therapy Assistant |
| 5199-26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1144495805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 W. WAHINGTON RD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "53144",
"telephone_number": "262-658-4074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 WAHINGTON ROAD",
"city": "KENOSHA",
"state": "WI",
"postal_code": "53144",
"telephone_number": "262-658-4074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAAS",
"first_name": "AMANDA",
"middle_name": "KAY",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-24",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WI",
"license": "1949-027",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "5199-26",
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WI",
"license": "5199-26",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.