Active NPI
Amanda Imler
- Occupational Therapist
- Altoona, PA
National Provider Identifier
1235501396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 3200 Fairway Dr
Altoona, PA 16602-4458 - Phone
- (814) 695-2924
- Fax
- (814) 695-2923
- NPI assigned
- Oct 28, 2015
- 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 | Primary |
Addresses
Primary practice location
3200 Fairway Dr
Altoona, PA 16602-4458
Mailing address
310 Penn St
Ste 103
Hollidaysburg, PA 16648-2044
Phone (814) 695-2924
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OC014137 | Other | PA | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151117002711 | PA | Practitioner - Occupational Therapist in Private Practice | 3173833456 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Care Health Systems Inc | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Altoona, PA
- NPI 1205821238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1235501396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 PENN ST",
"address_2": "STE 103",
"city": "HOLLIDAYSBURG",
"state": "PA",
"postal_code": "166482044",
"telephone_number": "814-695-2924",
"fax_number": "814-695-2923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 FAIRWAY DR",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166024458",
"telephone_number": "814-695-2924",
"fax_number": "814-695-2923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMLER",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-28",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "OC014137",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.