Individual provider Active NPI

William Amaya

  • Occupational Therapist
  • Little Falls, NJ
National Provider Identifier
1417433954
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
188 Newark Pompton Tpke
Little Falls, NJ 07424-1112
Phone
(877) 887-3574
NPI assigned
Jul 18, 2018
Last updated
Jul 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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 Primary

Addresses

Primary practice location

188 Newark Pompton Tpke
Little Falls, NJ 07424-1112

Mailing address

188 Newark Pompton Tpke
Little Falls, NJ 07424-1112
Phone (877) 887-3574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180802001697 NJ Practitioner - Occupational Therapist in Private Practice 8022366327 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Therapy Services, Inc. Occupational Therapist CurrentSince Oct 20, 2019 Accepting new patients
Visiting Therapy Services LLC Occupational Therapist CurrentSince Jun 1, 2018 Accepting new patients

Locations

271 US Highway 46
Ste H111
Fairfield, NJ 07004
Phone (877) 887-3574

188 Newark Pompton Tpke
Little Falls, NJ 07424
Phone (877) 887-3574

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1417433954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 NEWARK POMPTON TPKE",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241112",
            "telephone_number": "877-887-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 NEWARK POMPTON TPKE",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241112",
            "telephone_number": "877-887-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAYA",
        "first_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.