Rebecca J Amos, COTA
Individual provider Active NPI Occupational Therapy Assistant · Fort Wayne, IN
NPI 1154585263 · NPPES record last updated Jul 17, 2008
Key facts
- NPI
- 1154585263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 32001465A (IN)
- Practice address
- 1832 Grafton PL
Fort Wayne, IN 46808-3526 - Phone
- (260) 459-2408
- NPI assigned
- Jul 17, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32001465A | IN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 32001465A | IN | Yes |
Addresses
Primary practice location
1832 Grafton PL
Fort Wayne, IN 46808-3526
Mailing address
1832 Grafton PL
Fort Wayne, IN 46808-3526
Phone (260) 459-2408
Other providers in Fort Wayne, IN
- Yogeshchandra M. Amin
- Ohlashia Marie Aminy
- Amk Home Care, LLC
- Michael F Amorini
- Darryel Amos
- Stephanie Anne Amspaugh
- Angela Gale Amstutz
- Matthew J Amstutz
- Stephanie Amstutz
- Amy E Dunn LLC
All providers in Fort Wayne, IN · Occupational Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.