Active NPI
Amanda Godwin, OTD, OTR/L
- Occupational Therapist
- Muscatine, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056013268
- Practice address
- 2109 Cedarwood Dr Ste 200
Muscatine, IA 52761-2670 - Phone
- (563) 263-0557
- NPI assigned
- Sep 25, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 098221 | IA | |
| Occupational Therapist | 225X00000X | 056013268 | IL | Primary |
Addresses
Primary practice location
2109 Cedarwood Dr Ste 200
Muscatine, IA 52761-2670
Mailing address
850 43Rd Ave Ste 100
Moline, IL 61265-8401
Phone (309) 743-2070
Other practice location 1
4343 Kennedy Dr
East Moline, IL 61244-4203
Phone (309) 796-6600
Other names 1
- Amanda Berryhill
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056013268 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amity Point, LLC | Occupational Therapist | Current | Accepting new patients |
| Rock Valley Physical Therapy Center | Occupational Therapist | Current | Accepting new patients |
| Rock Valley Physical Therapy Center | Occupational Therapist | Current | Accepting new patients |
Locations
3906 Lillie Ave
Ste 5
Davenport, IA 52806
Phone (563) 223-8404
2109 Cedarwood Dr
Ste 100
Muscatine, IA 52761
Phone (563) 288-6787
2109 Cedarwood Dr
Stop 1
Muscatine, IA 52761
Phone (563) 288-6787
400 Ovesen Dr
Wilton, IA 52778
Phone (563) 732-2121
850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070
Organizations & group practices 3
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.
-
- Physical Therapist
- Moline, IL
- NPI 1245373166
IA, Occupational Therapist
-
- Occupational Therapist
- Davenport, IA
- NPI 1104524370
-
- Occupational Therapist
- Eldridge, IA
- NPI 1881540490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1427665264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 43RD AVE STE 100",
"city": "MOLINE",
"state": "IL",
"postal_code": "612658401",
"telephone_number": "309-743-2070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 CEDARWOOD DR STE 200",
"city": "MUSCATINE",
"state": "IA",
"postal_code": "527612670",
"telephone_number": "563-263-0557"
}
],
"practiceLocations": [
{
"address_1": "4343 Kennedy Dr",
"address_purpose": "LOCATION",
"city": "East Moline",
"state": "IL",
"postal_code": "612444203",
"country_code": "US",
"telephone_number": "309-796-6600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GODWIN",
"first_name": "AMANDA",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-25",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "098221",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056013268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "BERRYHILL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Muscatine, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.