Individual provider Active NPI

Amy Lynn Woodley, M.S. OTR/L

  • Occupational Therapist
  • Tonawanda, NY
National Provider Identifier
1396975801
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
015707-1 Issued in NY
Practice address
205 Yorkshire Road
Heritage Education Program
Tonawanda, NY 14150
Phone
(716) 208-9777
NPI assigned
Jul 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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 015707-1 NY Primary

Addresses

Primary practice location

205 Yorkshire Road
Heritage Education Program
Tonawanda, NY 14150

Mailing address

205 Yorkshire Road
Heritage Education Program
Tonawanda, NY 14150
Phone (716) 876-3901

Other names 1

  • Amy Lynn Pawelek Former name

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
015707-1NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1396975801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 YORKSHIRE ROAD",
            "address_2": "HERITAGE EDUCATION PROGRAM",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "14150",
            "telephone_number": "716-876-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 YORKSHIRE ROAD",
            "address_2": "HERITAGE EDUCATION PROGRAM",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "14150",
            "telephone_number": "716-208-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODLEY",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S. OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-17",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015707-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "PAWELEK",
            "middle_name": "LYNN",
            "credential": "M.S. OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.