Individual provider Active NPI

Amy D Neumann, OTRL, MBA

  • Occupational Therapist
  • Colchester, CT
National Provider Identifier
1316068398
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
002775 Issued in CT
Practice address
59 Harrington CT
Colchester, CT 06415-1207
Phone
(860) 537-2339
Fax
(860) 537-4747
NPI assigned
Apr 3, 2007
Last updated
Dec 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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 002775 CT Primary

Addresses

Primary practice location

59 Harrington CT
Colchester, CT 06415-1207

Mailing address

320 Route 87
Columbia, CT 06237-1127
Phone (860) 537-2339

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
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
002775CTMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1316068398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ROUTE 87",
            "city": "COLUMBIA",
            "state": "CT",
            "postal_code": "062371127",
            "telephone_number": "860-537-2339",
            "fax_number": "860-537-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 HARRINGTON CT",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151207",
            "telephone_number": "860-537-2339",
            "fax_number": "860-537-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUMANN",
        "first_name": "AMY",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "OTRL, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "002775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.