Amanda Nicole Forget, MS OTR/L, CLT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT13743 Issued in FL

Practice address

13085 US Highway 1
Sebastian, FL 32958-3726

Phone

(772) 646-9577

NPI assigned

Nov 26, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1215407937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 33RD AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329682037",
            "telephone_number": "321-960-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13085 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583726",
            "telephone_number": "772-646-9577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1285 36th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329606588",
            "country_code": "US",
            "telephone_number": "772-794-9777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORGET",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MS OTR/L, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT13743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST",
            "identifier": "225X00000X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Em-I Medical Services PA
• Florida Pain Management Associates PA.
• Carlo Daniel Fodor, O.D.
• Desmond Fonji, D.O
• Serenity Brooke Ford, PHARM.D.
• Christine Marie Foster, DDS
• Amanda K France, CRNA
• Courtney Carroll Frazier, ARNP
• Sharon Bowlus French, LDO
• Steven James Fujarczyk

• Occupational Therapist in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.