Active NPI
Amanda Scott Lereche, OTR
- Occupational Therapist
- Williamsburg, VA
National Provider Identifier
1285856948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119004493
- Practice address
- 119 Bulifants Blvd
Suite B
Williamsburg, VA 23188-5709 - Phone
- (757) 564-1650
- NPI assigned
- May 3, 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 | 0119004493 | VA | Primary |
Addresses
Primary practice location
119 Bulifants Blvd
Suite B
Williamsburg, VA 23188-5709
Mailing address
4111 Hillcrest Rd
Richmond, VA 23225-3311
Phone (540) 314-0435
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 |
|---|---|---|---|
| 0119004493 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289520000000",
"number": "1285856948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4111 HILLCREST RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232253311",
"telephone_number": "540-314-0435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 BULIFANTS BLVD",
"address_2": "SUITE B",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231885709",
"telephone_number": "757-564-1650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LERECHE",
"first_name": "AMANDA",
"middle_name": "SCOTT",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2010-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119004493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.