Individual provider Active NPI

Amanda Lane Calhoon, MSOT, OTR L

  • Occupational Therapist
  • Anchorage, AK
National Provider Identifier
1295883981
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1916 Issued in AK
Practice address
4100 Lake Otis Pkwy
Suite 308
Anchorage, AK 99508-5229
Phone
(907) 563-8318
Fax
(907) 563-3472
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1916 AK Primary

Addresses

Primary practice location

4100 Lake Otis Pkwy
Suite 308
Anchorage, AK 99508-5229

Mailing address

4100 Lake Otis Pkwy
Suite 308
Anchorage, AK 99508-5229
Phone (907) 563-8318

Other names 1

  • Amanda Lane Hall Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1916AKMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1295883981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 LAKE OTIS PKWY",
            "address_2": "SUITE 308",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085229",
            "telephone_number": "907-563-8318",
            "fax_number": "907-563-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LAKE OTIS PKWY",
            "address_2": "SUITE 308",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085229",
            "telephone_number": "907-563-8318",
            "fax_number": "907-563-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOON",
        "first_name": "AMANDA",
        "middle_name": "LANE",
        "credential": "MSOT, OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "1916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HALL",
            "middle_name": "LANE",
            "credential": "MSOT, OTR L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.