Individual provider Active NPI

Mariana D'Amico, EDD, OTR/L

  • Occupational Therapist
  • Martinez, GA
National Provider Identifier
1245522804
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
3624 Old Petersburg Road
Sensational Kids Pediatric Rehabilitation Center Inc
Martinez, GA 30907-2865
Phone
(706) 364-3470
Fax
(706) 364-3470
NPI assigned
May 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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 Primary

Addresses

Primary practice location

3624 Old Petersburg Road
Sensational Kids Pediatric Rehabilitation Center Inc
Martinez, GA 30907-2865

Mailing address

590 Calbrieth Way
North Augusta, SC 29860-8600
Phone (803) 442-3677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sensational Kids Pediatric Rehabilitation & Counseling, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305244800000",
    "number": "1245522804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 CALBRIETH WAY",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298608600",
            "telephone_number": "803-442-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 OLD PETERSBURG ROAD",
            "address_2": "SENSATIONAL KIDS PEDIATRIC REHABILITATION CENTER INC",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309072865",
            "telephone_number": "706-364-3470",
            "fax_number": "706-364-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMICO",
        "first_name": "MARIANA",
        "credential": "EDD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.