Active NPI
Amber Lynch, OIT
- Occupational Therapist
- Sandy Springs, GA
National Provider Identifier
1366939928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT004010
- Practice address
- 25 Glenlake Pkwy
Sandy Springs, GA 30328-3403 - Phone
- (470) 278-2254
- Fax
- (317) 884-3388
- NPI assigned
- Apr 19, 2018
- 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 | OT004010 | GA | Primary |
Addresses
Primary practice location
25 Glenlake Pkwy
Sandy Springs, GA 30328-3403
Mailing address
8777 Purdue Rd Ste 330
Indianapolis, IN 46268-3121
Phone (800) 603-6046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT004010 | Other | GA | GEORGIA STATE OCCUPATIONAL THERAPY LICENSE |
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 |
|---|---|---|---|
| OT004010 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524096000000",
"number": "1366939928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8777 PURDUE RD STE 330",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462683121",
"telephone_number": "800-603-6046",
"fax_number": "317-884-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 GLENLAKE PKWY",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303283403",
"telephone_number": "470-278-2254",
"fax_number": "317-884-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "AMBER",
"credential": "OIT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-19",
"last_updated": "2018-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT004010",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA STATE OCCUPATIONAL THERAPY LICENSE",
"identifier": "OT004010",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.