Active NPI
Amy Sandhurst, OT
- Occupational Therapist
- Clive, IA
National Provider Identifier
1255800983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 076981
- Practice address
- 1601 NW 114TH St Ste 151
Clive, IA 50325-7046 - Phone
- (515) 222-7474
- Fax
- (515) 222-7491
- NPI assigned
- Nov 26, 2018
- 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 | 076981 | IA | Primary |
Addresses
Primary practice location
1601 NW 114TH St Ste 151
Clive, IA 50325-7046
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 222-7474
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 076981 | IA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543190400000",
"number": "1255800983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-222-7474",
"fax_number": "515-222-7491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 NW 114TH ST STE 151",
"city": "CLIVE",
"state": "IA",
"postal_code": "503257046",
"telephone_number": "515-222-7474",
"fax_number": "515-222-7491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDHURST",
"first_name": "AMY",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-26",
"last_updated": "2018-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "076981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.