Individual provider Active NPI

Amy Johnson Houston, OTR/L

  • Pediatric Occupational Therapist
  • Hendersonville, TN
National Provider Identifier
1295966067
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT0000000915 Issued in TN
Practice address
139 Maple Row Blvd
Suite 202
Hendersonville, TN 37075-3853
Phone
(615) 826-7113
Fax
(615) 826-7139
NPI assigned
Jul 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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 OT0000000915 TN
Pediatric Occupational Therapist 225XP0200X OT0000000915 TN Primary

Addresses

Primary practice location

139 Maple Row Blvd
Suite 202
Hendersonville, TN 37075-3853

Mailing address

177 East Harbor
Hendersonville, TN 37075-3555
Phone (615) 826-9857

Other identifiers 2

IdentifierTypeStateIssuer
4249773OtherTNBLUE CROSS BLUE SHIELD
1514573MedicaidTN

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
915TNMDMarriage & Family Therapist
OT0000000915TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Therapy Center of Hendersonville Occupational Therapist PastSince Nov 4, 2024 Accepting new patients

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": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1295966067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 EAST HARBOR",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753555",
            "telephone_number": "615-826-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 MAPLE ROW BLVD",
            "address_2": "SUITE 202",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753853",
            "telephone_number": "615-826-7113",
            "fax_number": "615-826-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "AMY",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT0000000915",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TN",
            "license": "OT0000000915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4249773",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514573",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.