Individual provider Active NPI

Amber O'Neal, MS, OTR/L

  • Occupational Therapist
  • Elkfork, KY
National Provider Identifier
1396089231
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
R5342 Issued in KY
Practice address
2616 Highway 650
Elkfork, KY 41421-9060
Phone
(606) 793-0055
NPI assigned
Nov 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X R5342 KY Primary
Pediatric Occupational Therapist 225XP0200X R5342 KY

Addresses

Primary practice location

2616 Highway 650
Elkfork, KY 41421-9060

Mailing address

2616 Highway 650
Elkfork, KY 41421-9060
Phone (606) 793-0055

Other practice location 1

1028 E Main St
Morehead, KY 40351-1328
Phone (606) 783-6919

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

State licenses

LicenseStateTypeSpecialty
R5342KYMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1396089231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 HIGHWAY 650",
            "city": "ELKFORK",
            "state": "KY",
            "postal_code": "414219060",
            "telephone_number": "606-793-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 HIGHWAY 650",
            "city": "ELKFORK",
            "state": "KY",
            "postal_code": "414219060",
            "telephone_number": "606-793-0055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1028 E Main St",
            "address_purpose": "LOCATION",
            "city": "Morehead",
            "state": "KY",
            "postal_code": "403511328",
            "country_code": "US",
            "telephone_number": "606-783-6919",
            "fax_number": "060-783-6629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "AMBER",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R5342",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KY",
            "license": "R5342",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.