Amy Lynn Vincent, OTR, MS

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201006981 Issued in MI

Practice address

626 Maple Hill Dr
Kalamazoo, MI 49009-1032

Phone

(269) 544-2901

Fax

(269) 341-9919

NPI assigned

May 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Therapy Place, L.L.C.Group PAC ID 8325054117, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• The Therapy Place, L.L.C.

  • Occupational Therapist
  • Kalamazoo, MI
  • NPI 1306891932
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1306890363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 MAPLE HILL DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091032",
            "telephone_number": "269-544-2901",
            "fax_number": "269-341-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 MAPLE HILL DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091032",
            "telephone_number": "269-544-2901",
            "fax_number": "269-341-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "OTR, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201006981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "P28080001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "670C912890",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victory Clinical Services LLC
• Mark Viel, LLMSW
• Karthik Vijayaraghavan, MD
• Villa at Borgess Place LLC (Villa at Borgess Place)
• Adriana Villegas
• Jeremiah Vincent, BA
• Linnea Vincent
• Tashombi Nicole Vines
• Patricia Vining-Maravolo, NP-C
• Zachary James Virgin, D.O.

• Occupational Therapist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.