Individual provider Active NPI

Amanda Hatch

  • Occupational Therapist
  • Clifton Park, NY
National Provider Identifier
1215574009
Registry record updated Nov 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5333 Issued in CT
Practice address
1 Abele Dr
Clifton Park, NY 12065-2951
Phone
(518) 371-1400
NPI assigned
Nov 29, 2019
Last updated
Nov 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2019

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 5333 CT Primary

Addresses

Primary practice location

1 Abele Dr
Clifton Park, NY 12065-2951

Mailing address

337 VT Route 25
West Topsham, VT 05086-9739
Phone (802) 595-6246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250428000088 NY Practitioner - Occupational Therapist in Private Practice 6204352867 Reassigns benefits to 1 organization
I20260107001179 CT Practitioner - Occupational Therapist in Private Practice 6204352867 Reassigns benefits to 1 organization
I20260324000336 NJ Practitioner - Occupational Therapist in Private Practice 6204352867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

337 VT Route 25
West Topsham, VT 05086

4 Medical Park Dr
Suite B
Pomona, NY 10970-3539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5333CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stern at Home Physical Therapy PC Occupational Therapist CurrentSince Mar 24, 2025 Accepting new patients

Locations

415 Main St
Ridgefield, CT 06877
Phone (203) 438-7565

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

Organizations & group practices 1

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": "1574985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574985600000",
    "number": "1215574009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 VT ROUTE 25",
            "city": "WEST TOPSHAM",
            "state": "VT",
            "postal_code": "050869739",
            "telephone_number": "802-595-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ABELE DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652951",
            "telephone_number": "518-371-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCH",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-29",
        "last_updated": "2019-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "5333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.