Active NPI
Amanda Harrison, MS, OTR/L
- Occupational Therapist
- Hampton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119005645
- 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
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 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, DC
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0119005645 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services LLC | Occupational Therapist | Current | Accepting new patients |
| Seaside Occupational Therapy, LLC | Occupational Therapist | Current | 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.
-
- Occupational Therapist
- Hampton, VA
- NPI 1457995540
-
- Physical Therapist
- Winchester, VA
- NPI 1609814755
DC, Occupational Therapist
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.