Individual provider Active NPI

Amanda Marie Warren, OTR-L

  • Occupational Therapist
  • Columbus, OH
National Provider Identifier
1245437904
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5905 Issued in OH
Practice address
2760 Airport Dr Ste 160
Columbus, OH 43219-2284
Phone
(614) 228-5900
NPI assigned
Jun 27, 2007
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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 5905 OH Primary

Addresses

Primary practice location

2760 Airport Dr Ste 160
Columbus, OH 43219-2284

Mailing address

7101 Hinton Mill Rd
Ostrander, OH 43061-9316
Phone (614) 309-9889

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040817001298 OH Practitioner - Occupational Therapist in Private Practice 8123091105 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5905OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Oct 1, 2025 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Oct 1, 2025 Accepting new patients
Affordable Home Health Care, LLC Occupational Therapist CurrentSince Dec 25, 2024 Accepting new patients
Affordable Home Health Care, LLC CurrentSince Dec 25, 2024 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

2760 Airport Dr
Ste 160
Columbus, OH 43219
Phone (614) 866-8158

800 Yard St
Ste 300
Grandview Heights, OH 43212
Phone (614) 866-8158

Organizations & group practices 4

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1245437904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 HINTON MILL RD",
            "city": "OSTRANDER",
            "state": "OH",
            "postal_code": "430619316",
            "telephone_number": "614-309-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 AIRPORT DR STE 160",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192284",
            "telephone_number": "614-228-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "OTR-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "5905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.

Verify at the official NPI Registry.