Amanda M Shultz, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2227 Issued in NC

Practice address

1211A Ireland Dr
Fayetteville, NC 28304-3372

Phone

(910) 486-1605

Fax

(910) 486-1590

NPI assigned

Jun 25, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1407052574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6731 SHAD CT",
            "city": "STEDMAN",
            "state": "NC",
            "postal_code": "283919448",
            "telephone_number": "910-485-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211A IRELAND DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043372",
            "telephone_number": "910-486-1605",
            "fax_number": "910-486-1590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Purdue Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043674",
            "country_code": "US",
            "telephone_number": "910-672-0061",
            "fax_number": "910-672-0061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "AMANDA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "2227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahcara Shorter, LPN
• Cherisy Lynn Showalter, BCBA, LBA
• Monson Shuh, MD
• Carolyn Anita Shuler-Scott, SLP
• Daphne S Shuler-Thurman, LCAS-A
• April Ann Shumard
• Joseph L Shurtleff, DDS
• Hunnain Siddiqui, PHARMD
• Stacie A Sidebotham, FNP
• Deborah Jean Sides, NP

• Occupational Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.