Individual provider Active NPI

Amanda Johnson

  • Occupational Therapist
  • North Palm Beach, FL
National Provider Identifier
1194508689
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
631 US Highway 1 Ste 305
North Palm Beach, FL 33408-4620
Phone
(561) 291-7922
Fax
(561) 409-0876
NPI assigned
Aug 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

631 US Highway 1 Ste 305
North Palm Beach, FL 33408-4620

Mailing address

631 US Highway 1 Ste 305
North Palm Beach, FL 33408-4620
Phone (561) 291-7922

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therahealth & Wellness LLC CurrentSince Aug 27, 2023 Accepting new patients
Therahealth & Wellness Clinics LLC CurrentSince Nov 5, 2023 Accepting new patients

Locations

631 US Highway 1
Ste 305
North Palm Beach, FL 33408
Phone (561) 291-7922

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1194508689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 US HIGHWAY 1 STE 305",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084620",
            "telephone_number": "561-291-7922",
            "fax_number": "561-409-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 US HIGHWAY 1 STE 305",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084620",
            "telephone_number": "561-291-7922",
            "fax_number": "561-409-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.