Active NPI
Amy Dean Edgerton, OTR
- Occupational Therapist
- Birmingham, AL
National Provider Identifier
1265639850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2157
- Practice address
- 2204 Lakeshore Dr Ste 110
Birmingham, AL 35209-6701 - Phone
- (205) 868-0147
- NPI assigned
- Jun 28, 2007
- 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 | 2157 | AL | Primary |
Addresses
Primary practice location
2204 Lakeshore Dr Ste 110
Birmingham, AL 35209-6701
Mailing address
405 Saint Charles St
Birmingham, AL 35209-3443
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 |
|---|---|---|---|
| 2157 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amedisys Alabama, LLC | 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.
-
- Home Health Agency
- Carrollton, AL
- NPI 1326006628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265639850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 SAINT CHARLES ST",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352093443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 LAKESHORE DR STE 110",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352096701",
"telephone_number": "205-868-0147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDGERTON",
"first_name": "AMY",
"middle_name": "DEAN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "2157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.