Amanda Zachman

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2021019935 Issued in MO

Practice address

813 Balson Ave.
St. Louis, MO 63130

Phone

(618) 420-5906

NPI assigned

Sep 17, 2013

Last updated

Oct 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Amanda Hoffman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Appletree Therapy Services, LLC

  • Rehabilitation Clinic/Center
  • O'Fallon, IL
  • NPI 1447520168
  NPD (past)
• Appletree Therapy Services, LLC.

  • Clinic/Center
  • O'Fallon, IL
  • NPI 1134442726
  NPD (past)

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1265868756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 STEEPLE LN",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630054202",
            "telephone_number": "186-420-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 BALSON AVE.",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63130",
            "telephone_number": "618-420-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHMAN",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.010257",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "2021019935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HOFFMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Z. a. Dalu M.D.,Inc
• Zurabi Zaalishvili, MD
• Jay W Zaber, P.T.
• Julie R Zaber, PT
• Joseph Edward Zacher, DPT
• Andrew Zack, AA
• Brenna Nicole Zack, ACNP
• Mark Zaegel
• Affan Zafar, M.D.
• Homa Rachel Zafer

• Pediatric Occupational Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pediatric Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.