Amber M Prudhomme, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

11258 Issued in MA

Practice address

102 Bear Hill Rd
North Andover, MA 01845-2142

Phone

(603) 508-7103

NPI assigned

Nov 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthy at Home Physical Therapy, LLCGroup PAC ID 7012324171, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Healthy at Home Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • North Andover, MA
  • NPI 1700461936
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1386289130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BEAR HILL RD",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452142",
            "telephone_number": "603-508-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BEAR HILL RD",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452142",
            "telephone_number": "603-508-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUDHOMME",
        "first_name": "AMBER",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "11258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prescott Nursing Home, Inc.
• Preventive Medicine Associates
• Steven Robert Previte, M.D.
• Julia M Pridgen
• Siobhan Pritt, OTR/L
• Jacquelyn S Psoinos, CPNP
• Kathleen Pucci, MSN RN CNL AGNP-C
• Pulley Chiropractic & Acupuncture, LLC
• Janine Marie Ling Pulley, D.C.
• Pulmonary Practice of Merrimack Valley, P.C.

• Occupational Therapist in North Andover, MA
• Providers in North Andover, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.