Amanda S Otto

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA17890 Issued in FL

Practice address

7203 Aloma Ave
Winter Park, FL 32792-7101

Phone

(321) 972-3960

NPI assigned

Apr 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Felice Center for Pediatric Rehabilitation - Maitland

  • Speech-Language Pathologist
  • Maitland, FL
  • NPI 1215473384
  NPD (past)
• Felice Center for Pediatric Rehabilitation, Inc.

  • Speech-Language Pathologist
  • Maitland, FL
  • NPI 1497011126
  NPD (past)

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1366005365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9630 CHANDON DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328256131",
            "telephone_number": "727-249-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7203 ALOMA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327927101",
            "telephone_number": "321-972-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "AMANDA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA17890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmin Ariel-Marie Osorio
• Brittany Leigh Osullivan
• Sydney Oswald
• Eliza Otero, APRN
• Adriana Otto, M.D.
• Rachel Caroline Ouellette, APRN
• James Franklin Outlaw, DDS1
• Laura Owen
• Trevor Allan Owens, MD
• Diana L Oxford, LMHC

• Speech-Language Pathologist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.