Active NPI
Amanda Gamel, COTA/L
- Occupational Therapy Assistant
- Louisburg, NC
National Provider Identifier
1215438627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 11600
- Practice address
- 114 Smoketree Way
Louisburg, NC 27549-2117 - Phone
- (208) 608-8038
- NPI assigned
- Feb 22, 2018
- Last updated
- Feb 22, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 11600 | NC | Primary |
Addresses
Primary practice location
114 Smoketree Way
Louisburg, NC 27549-2117
Mailing address
608 E Raintree LN
Goldsboro, NC 27534-8225
Phone (208) 608-8038
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11600 | NC | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519257600000",
"number": "1215438627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 E RAINTREE LN",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275348225",
"telephone_number": "208-608-8038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 SMOKETREE WAY",
"city": "LOUISBURG",
"state": "NC",
"postal_code": "275492117",
"telephone_number": "208-608-8038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMEL",
"first_name": "AMANDA",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-22",
"last_updated": "2018-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "11600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisburg, NC
- Franklin Regional Emergency Physicians PLLC
- Franklin Regional Medical Center Crnas
- Freedom House Recovery Center, Inc.
- Freedom House Recovery Center, Inc.
- Stephanie L Furness-Kraft, LCSW
- Virginia Kelly Gamelin, LCSWA
- Michael Lim Garcia
- Samantha Lee Garey, FNP-C
- Sharon Elizabeth Garrett, LCAS, CCS
- Brian Thomas Garry, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.