Individual provider Active NPI

Amanda Carmosino, OTR/L

  • Occupational Therapist
  • Clermont, FL
National Provider Identifier
1346882172
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT16507 Issued in FL
Practice address
627 8TH St
Clermont, FL 34711-2159
Phone
(352) 243-4422
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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 OT16507 FL Primary

Addresses

Primary practice location

627 8TH St
Clermont, FL 34711-2159

Mailing address

3632 Briar Run Dr
Clermont, FL 34711-9621
Phone (407) 907-0376

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amanda@mobility-rehab.com Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT16507FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
FCHR PA CurrentSince Oct 20, 2019 Accepting new patients
Mobility Rehabilitation Inc. CurrentSince Feb 2, 2020 Accepting new patients

Locations

627 8th St
Clermont, FL 34711
Phone (352) 243-4422

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1346882172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 BRIAR RUN DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347119621",
            "telephone_number": "407-907-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 8TH ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112159",
            "telephone_number": "352-243-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMOSINO",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT16507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda@mobility-rehab.com",
            "affiliation": "N",
            "endpointDescription": "Secured Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "627 8th St",
            "city": "Clermont",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347112159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.