Amanda Brooke Izer
Individual provider Active NPI Occupational Therapist · Shepherdstown, WV
NPI 1336845247 · NPPES record last updated Feb 2, 2023
Key facts
- NPI
- 1336845247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2340 (WV)
- Practice address
- 80 Maddex Dr
Shepherdstown, WV 25443-4305 - Phone
- (304) 876-9422
- NPI assigned
- Feb 2, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2340 | WV | MD | Emergency Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2340 | WV | Yes |
Addresses
Primary practice location
80 Maddex Dr
Shepherdstown, WV 25443-4305
Mailing address
120 Ogunquit Dr
Martinsburg, WV 25403-1823
Phone (304) 995-4907
Other providers in Shepherdstown, WV
- Barbara R Helton
- Amani Franklin Hemphill
- Tessa Marie Hickey
- Christopher A Horowicz
- Tabitha Marie Hovermale
- J. Peterson, PH.D., LLC
- Melissa Dale Jacobson
- Hollie Rice Jarrell
- Jefferson Chiropractic Center, Inc.
- Margaret Anne Jester
All providers in Shepherdstown, WV · Occupational Therapist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.