Amy Vandegriff, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

11751 Alta Vista Rd Ste 201
Fort Worth, TX 76244-6442

Phone

(817) 562-1006

NPI assigned

Oct 10, 2018

Last updated

Mar 17, 2022By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediaplex Management Company LLC

  • Speech-Language Pathologist
  • Southlake, TX
  • NPI 1821374687
  NPD (past)

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1417422023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11751 ALTA VISTA RD STE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11751 ALTA VISTA RD STE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446442",
            "telephone_number": "817-562-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEGRIFF",
        "first_name": "AMY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William J Van Wyk, MD PA
• Nghi Van
• Brenda B Vanamburgh, PHD
• Vicky Lee Vanburen
• Londa Vance, LPC-I
• Leeanne Vandegriff, MSN, RN, FNP-C
• Jennifer Vandenberg, AGACNP
• Sarah Gallagher Vandenbush, DO
• Stephanie Lynn Vandendyck, APRN, FNP-C
• Danny Hudson Vandergriff, PHD, LCSW

• Occupational Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.