Active NPI
Amanda J Guay, OTR/L
- Occupational Therapist
- Hudson Falls, NY
National Provider Identifier
1376643676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 013073-1
- Practice address
- 47 Vaughn Rd
Hudson Falls, NY 12839-1219 - Phone
- (518) 774-2121
- NPI assigned
- Sep 25, 2006
- 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 | 013073-1 | NY | Primary |
Addresses
Primary practice location
47 Vaughn Rd
Hudson Falls, NY 12839-1219
Mailing address
47 Vaughn Rd
Hudson Falls, NY 12839-1219
Phone (518) 774-2121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00752456 | Medicaid | NY |
Other names 1
- Miss Amanda J Colvin
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013073-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271721600000",
"number": "1376643676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 VAUGHN RD",
"city": "HUDSON FALLS",
"state": "NY",
"postal_code": "128391219",
"telephone_number": "518-774-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 VAUGHN RD",
"city": "HUDSON FALLS",
"state": "NY",
"postal_code": "128391219",
"telephone_number": "518-774-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUAY",
"first_name": "AMANDA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2010-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "013073-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00752456",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "COLVIN",
"middle_name": "J",
"prefix": "MISS",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hudson Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.