Amanda Marie Green, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

311006974A Issued in IN

Practice address

9957 Allisonville Rd
Fishers, IN 46038-2006

Phone

(317) 841-7005

Fax

(317) 841-7029

NPI assigned

Sep 3, 2019

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

State licenses

Practice roles

Locations

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.

• Theracare Inc

  dba Footprints Pediatric Inc

  • Rehabilitation Clinic/Center
  • Osceola, IN
  • NPI 1811165269
  NPD
• Theracare Inc.

  dba Tots

  • Rehabilitation Clinic/Center
  • Fishers, IN
  • NPI 1023052339

  Pediatrics

  NPD

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1477101418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9957 ALLISONVILLE RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382006",
            "telephone_number": "317-841-7005",
            "fax_number": "317-841-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9957 ALLISONVILLE RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382006",
            "telephone_number": "317-841-7005",
            "fax_number": "317-841-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IN",
            "license": "311006974A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rickkia Gray
• Grays Care and Wellness
• Anika Grays
• Alyson Gredler
• Madlyn Green-Taylor
• Nicholas Ryan Green, BCBA
• Tonya Lynn Green, NP-C
• Angela L Greenaway, DDS
• Reginald Greene
• Brianna Greenidge

• Pediatric Occupational Therapist in Fishers, IN
• Providers in Fishers, IN by specialty
• Pediatric Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.