Individual provider Active NPI

Amber Lynch, OIT

  • Occupational Therapist
  • Sandy Springs, GA
National Provider Identifier
1366939928
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT004010 Issued in GA
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

Updated by the provider on Apr 19, 2018

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 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

IdentifierTypeStateIssuer
OT004010OtherGAGEORGIA 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

LicenseStateTypeSpecialty
OT004010GAMDOccupational 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.

Verify at the official NPI Registry.