Active NPI
Amelia Denise Hanan, MS, OTR/L
- Pediatric Occupational Therapist
- Pell City, AL
National Provider Identifier
1295367480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 5219
- Practice address
- 2806 Dr John Haynes Dr
Pell City, AL 35125-1485 - Phone
- (205) 884-7621
- NPI assigned
- Feb 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 5219 | AL | Primary |
Addresses
Primary practice location
2806 Dr John Haynes Dr
Pell City, AL 35125-1485
Mailing address
2806 Dr John Haynes Dr
Pell City, AL 35125-1485
Phone (205) 884-7621
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5219 | AL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leaps Academy Inc | Multi-Specialty | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/15135/brand/2/csg/1/fhir/r4
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1295367480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2806 DR JOHN HAYNES DR",
"city": "PELL CITY",
"state": "AL",
"postal_code": "351251485",
"telephone_number": "205-884-7621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2806 DR JOHN HAYNES DR",
"city": "PELL CITY",
"state": "AL",
"postal_code": "351251485",
"telephone_number": "205-884-7621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANAN",
"first_name": "AMELIA",
"middle_name": "DENISE",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-06",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "AL",
"license": "5219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pell City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.