Active NPI
Amber Hanke
- Occupational Therapist
- Cape Coral, FL
National Provider Identifier
1417537580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT26912
- Practice address
- 734 SW 4TH St
Cape Coral, FL 33991-1922 - Phone
- (239) 910-0712
- NPI assigned
- Apr 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT26912 | FL | Primary |
| Occupational Therapy Assistant | 224Z00000X | |||
| Occupational Therapy Assistant | 224Z00000X | OTA18093 | FL |
Addresses
Primary practice location
734 SW 4TH St
Cape Coral, FL 33991-1922
Mailing address
511 NE Juanita CT
Cape Coral, FL 33909-1958
Phone (443) 805-4011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
110 Horizon Dr
Suite 310
Raleigh, NC 27615-4926
511 NE Juanita CT
Cape Coral, FL 33909-1958
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA18093 | FL | MD | Occupational Therapy Assistant |
| OT26912 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services, Inc | Occupational Therapist | Current | Accepting new patients |
Locations
12780 Kenwood Ln
Fort Myers, FL 33907
Phone (239) 202-0905
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1417537580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 NE JUANITA CT",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339091958",
"telephone_number": "443-805-4011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "734 SW 4TH ST",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339911922",
"telephone_number": "239-910-0712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANKE",
"first_name": "AMBER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-12",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT26912",
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA18093",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.