Amanda Catherine Gordon, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT011871 Issued in OH

Practice address

11083 Hamilton Ave
Cincinnati, OH 45231-1409

Phone

(419) 733-2719

NPI assigned

Sep 24, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Amanda Catherine Winner Former name

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": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1407463441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 GLENSIDE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452121140",
            "telephone_number": "419-733-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11083 HAMILTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452311409",
            "telephone_number": "419-733-2719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3874 Ivanhoe Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452123513",
            "country_code": "US",
            "telephone_number": "419-733-2719",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5435 Kenwood Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452271328",
            "country_code": "US",
            "telephone_number": "513-914-0436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "AMANDA",
        "middle_name": "CATHERINE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT011871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WINNER",
            "middle_name": "CATHERINE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lori B Gordley, DO
• Myla D Gordo, LPC
• Nathan Earl Gordon Sr.
• Carol Ann Gordon-Shirley, LICDC-CS
• Aireanna Gordon
• Annabelle Jane Gordon, MD
• Brittaney-Belle Elizabeth Gordon, MD
• Brittany Gordon
• Diondra Jamacia Gordon
• Garrett Isaac Gordon, MD, PT, DPT

• All providers in Cincinnati, OH
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.