Active NPI
Amanda F Garry
- Occupational Therapist
- Dallas, TX
National Provider Identifier
1346908886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 120763
- Practice address
- 9215 White Rock TRL
Dallas, TX 75238-2593 - Phone
- (972) 370-4798
- NPI assigned
- Dec 1, 2021
- Last updated
- Dec 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 120763 | TX | Primary |
Addresses
Primary practice location
9215 White Rock TRL
Dallas, TX 75238-2593
Mailing address
5073 Gaston Ave Apt 401
Dallas, TX 75214-5248
Phone (248) 930-4744
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
| License | State | Type | Specialty |
|---|---|---|---|
| 120763 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1346908886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5073 GASTON AVE APT 401",
"city": "DALLAS",
"state": "TX",
"postal_code": "752145248",
"telephone_number": "248-930-4744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9215 WHITE ROCK TRL",
"city": "DALLAS",
"state": "TX",
"postal_code": "752382593",
"telephone_number": "972-370-4798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRY",
"first_name": "AMANDA",
"middle_name": "F",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-01",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "120763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.