Individual provider Active NPI

Amanda Varner, OTD, OTR

  • Occupational Therapist
  • San Antonio, TX
National Provider Identifier
1245024801
Registry record updated Sep 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
125415 Issued in TX
Practice address
6411 Green Apple Dr
San Antonio, TX 78233-3959
Phone
(417) 540-1160
NPI assigned
Apr 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2026

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 125415 TX Primary

Addresses

Primary practice location

6411 Green Apple Dr
San Antonio, TX 78233-3959

Mailing address

6411 Green Apple Dr
San Antonio, TX 78233-3959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251230002314 TX Practitioner - Occupational Therapist in Private Practice 3274029152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liberty Rehabilitation Specialists IncGroup PAC ID 7012907033, 10 clinicians

Practice addresses (Care Compare)

2130 NE Loop
410 Suite 212
San Antonio, TX 78217-4659
Phone (210) 656-5848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125415TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Rehabilitation Specialists Inc Occupational Therapist CurrentSince Nov 1, 2025 Accepting new patients
Liberty Rehabilitation Specialists Inc Occupational Therapist CurrentSince Nov 1, 2025 Accepting new patients

Locations

17006 San Pedro Ave
San Antonio, TX 78232
Phone (210) 490-4738

2130 NE Loop 410
Ste 212
San Antonio, TX 78217
Phone (210) 656-5848

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": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1245024801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 GREEN APPLE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782333959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 GREEN APPLE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782333959",
            "telephone_number": "417-540-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARNER",
        "first_name": "AMANDA",
        "credential": "OTD, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-08",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "125415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; 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.