Amanda Shepherd

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

U1-0001570 Issued in DE

Practice address

1280 Almonesson Rd
Deptford, NJ 08096-5502

Phone

(856) 345-1401

Fax

(856) 805-9370

NPI assigned

Jul 15, 2015

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1437533882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191",
            "telephone_number": "302-651-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 ALMONESSON RD",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080965502",
            "telephone_number": "856-345-1401",
            "fax_number": "856-805-9370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 Brennen Dr",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197133906",
            "country_code": "US",
            "telephone_number": "302-454-2202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "DE",
            "license": "U1-0001570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sar Optique, Inc (Sterling Optical)
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• Kinjal Shah
• Kreena Shah, MD
• Sara Shin, PHARMD
• Brandon Michael Sirochinsky, DDS.
• Lisa N Sleiminger, PHARMD
• Justin Southwick, PHARMACIST
• Annemarie Sparks, BS ED.

• Pediatric Occupational Therapist in Deptford, NJ
• Providers in Deptford, NJ by specialty
• Pediatric Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.