Amanda Patterson

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31003943A Issued in IN

Practice address

6215 E Florida St
Evansville, IN 47715-2877

Phone

(812) 401-5210

NPI assigned

Apr 3, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1275951535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11008 DARMSTADT RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477105026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 E FLORIDA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152877",
            "telephone_number": "812-401-5210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11008 Darmstadt Rd",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477105026",
            "country_code": "US",
            "telephone_number": "812-598-9888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IN",
            "license": "31003943A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31003943A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vyom J Patel, DO
• Samata Pathireddy, MD
• Patrick P. Johns, DDS, LLC
• Amanda Patrick, RBT
• Vishwanath Pattan, MD
• Carrie Anne Patterson, PT. DPT
• Donald Edward Patterson, MD
• Jenny Lynn Patterson
• Katie E Patterson
• Savannah Patterson, LSW

• Occupational Therapist in Evansville, IN
• Providers in Evansville, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.