Amanda Rae Sankermenon, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

5800 Saint Croix Ave N
Golden Valley, MN 55422-4446

Phone

(612) 246-3592

NPI assigned

Jun 25, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1265002059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 LINCOLN AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053147",
            "telephone_number": "920-264-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 SAINT CROIX AVE N",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224446",
            "telephone_number": "612-246-3592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "893 Lincoln Ave # 2",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551053147",
            "country_code": "US",
            "telephone_number": "920-264-2574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANKERMENON",
        "first_name": "AMANDA",
        "middle_name": "RAE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Lynn Salveson, MOTR/L
• Anna Samarskaya, PTA
• Amy Marie Samson-Burke, P.T.
• Mabel Sanchez
• Sue Ann Sandahl, OTR L
• Renee Louise Santoro
• Molly A Sartor, MA
• Erin Marie Sawyer, PTA
• Gregory S Sawyer, LMFT
• Maryam Sayyadi

• Occupational Therapist in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.