Individual provider Active NPI

Amanda Nicole Flowers, MOT, OTR/L

  • Occupational Therapist
  • Greensboro, NC
National Provider Identifier
1285916643
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
9411 Issued in NC
Practice address
3907 W Market St # a
Greensboro, NC 27407-1303
Phone
(336) 279-9008
NPI assigned
Sep 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056009489 IL
Occupational Therapist 225X00000X 9411 NC Primary

Addresses

Primary practice location

3907 W Market St # a
Greensboro, NC 27407-1303

Mailing address

5603 W Friendly Ave # 274
Greensboro, NC 27410-4274
Phone (563) 650-9069

Other practice location 1

1208 New Garden Rd
Greensboro, NC 27410-2679
Phone (563) 650-9069

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

LicenseStateTypeSpecialty
056009489ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Interact Pediatric Therapy Services, PLLC CurrentSince Jan 21, 2024 Accepting new patients
Empowering Early Eaters LLC Occupational Therapist Current Accepting new patients

Locations

3907 W Market St
#A
Greensboro, NC 27407
Phone (336) 279-9008

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1285916643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5603 W FRIENDLY AVE # 274",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104274",
            "telephone_number": "563-650-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 W MARKET ST # A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071303",
            "telephone_number": "336-279-9008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1208 New Garden Rd",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274102679",
            "country_code": "US",
            "telephone_number": "563-650-9069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLOWERS",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056009489",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "9411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

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