Individual provider Active NPI

Amanda Harrison, MS, OTR/L

  • Occupational Therapist
  • Hampton, VA
National Provider Identifier
1225445794
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119005645 Issued in VA
Practice address
2200 Executive Dr Ste E
Hampton, VA 23666-2582
Phone
(757) 655-3888
NPI assigned
Jul 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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 0119005645 VA Primary

Addresses

Primary practice location

2200 Executive Dr Ste E
Hampton, VA 23666-2582

Mailing address

2200 Executive Dr Ste E
Hampton, VA 23666-2582
Phone (757) 655-1130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200122001001 VA Practitioner - Occupational Therapist in Private Practice 3375978372 Reassigns benefits to 2 organizations
I20240122000612 DC Practitioner - Occupational Therapist in Private Practice 3375978372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12 W Queens Way
Hampton, VA 23669-4012
Phone (757) 655-1130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0119005645VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services LLC Occupational Therapist CurrentSince Jan 1, 2024 Accepting new patients
Seaside Occupational Therapy, LLC Occupational Therapist CurrentSince Oct 29, 2019 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

12 W Queens Way
Hampton, VA 23669
Phone (757) 655-1130

4410 Claiborne Sq E
Ste 334
Hampton, VA 23666
Phone (757) 606-1377

5 W Queens Way
Ste 102
Hampton, VA 23669
Phone (757) 655-1130

2200 Executive Dr
Ste E
Hampton, VA 23666
Phone (757) 655-1130

20 E Piccadilly St
Ste 1114
Winchester, VA 22601

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1225445794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 EXECUTIVE DR STE E",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662582",
            "telephone_number": "757-655-1130",
            "fax_number": "757-702-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 EXECUTIVE DR STE E",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662582",
            "telephone_number": "757-655-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "AMANDA",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119005645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; 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.