Active NPI
Amanda R Lucas, MOT, OTR/L
- Pediatric Occupational Therapist
- Lewis Center, OH
National Provider Identifier
1245639293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OH007980
- Practice address
- 814 Shanahan Rd
Suite 100
Lewis Center, OH 43035-9078 - Phone
- (740) 657-4050
- Fax
- (740) 657-4099
- NPI assigned
- Aug 15, 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OH007980 | OH | Primary |
Addresses
Primary practice location
814 Shanahan Rd
Suite 100
Lewis Center, OH 43035-9078
Mailing address
814 Shanahan Rd
Suite 100
Lewis Center, OH 43035-9078
Phone (740) 657-4050
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH007980 | OH | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507593600000",
"number": "1245639293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 SHANAHAN RD",
"address_2": "SUITE 100",
"city": "LEWIS CENTER",
"state": "OH",
"postal_code": "430359078",
"telephone_number": "740-657-4050",
"fax_number": "740-657-4099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 SHANAHAN RD",
"address_2": "SUITE 100",
"city": "LEWIS CENTER",
"state": "OH",
"postal_code": "430359078",
"telephone_number": "740-657-4050",
"fax_number": "740-657-4099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "AMANDA",
"middle_name": "R",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-15",
"last_updated": "2017-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OH",
"license": "OH007980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewis Center, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.