NPIMap

Individual provider Active NPI

Amy Wheadon, MS, OTR/L

  • Pediatric Occupational Therapist
  • Danvers, MA
National Provider Identifier
1366864472
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
7585 Issued in MA
Practice address
27 Garden St Unit 1a
Danvers, MA 01923-1430
Phone
(978) 777-1122
Fax
(978) 777-2007
NPI assigned
Jan 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 7585 MA Primary

Addresses

Primary practice location

27 Garden St Unit 1a
Danvers, MA 01923-1430

Mailing address

27 Garden St Unit 1a
Danvers, MA 01923-1430
Phone (978) 777-1122

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Kidshine LLC Current Accepting new patients
Kidshine LLC Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1366864472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 GARDEN ST UNIT 1A",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231430",
            "telephone_number": "978-777-1122",
            "fax_number": "978-777-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 GARDEN ST UNIT 1A",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231430",
            "telephone_number": "978-777-1122",
            "fax_number": "978-777-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEADON",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-08",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "7585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.