Amy Nicole Utecht, OTD, MSOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT003834 Issued in GA

Practice address

2001 Professional Pkwy Ste 220
Woodstock, GA 30188-6444

Phone

(448) 543-8437

Fax

(844) 471-3799

NPI assigned

Nov 14, 2006

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

Other identifiers 8

Other names 1

• Amy Utecht Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Hearts and Hands Therapy Services, Inc

  • Pediatric Occupational Therapist
  • Woodstock, GA
  • NPI 1831410943
  NPD (past) Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1477625424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 CRESCENT CIR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301154772",
            "telephone_number": "678-462-1342",
            "fax_number": "678-493-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PROFESSIONAL PKWY STE 220",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886444",
            "telephone_number": "448-543-8437",
            "fax_number": "844-471-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTECHT",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "OTD, MSOT,  OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT003834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEACH STATE HEALTH PLAN",
            "identifier": "490456055A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10035969",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "312668",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490456055D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52070551 009",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52070551 010",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490456055A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52070551 004",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "JOHNSON",
            "middle_name": "UTECHT",
            "credential": "OTD, MSOT, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shaun Underwood
• Uniquely Possible Therapy Services, LLC
• Unquantifiable Recovery Medical Distribution, LLC
• Roxana Urbina, LAPC, NCC
• Usrc Woodstock, LLC
• Obinna Emmanuel Uzoho, OD
• Kimberly Anne Vaccaro, DC
• Safiah Vafaeian
• Aisha Y Vaid, DMD
• Nataliya Valentinova, PA-C

• Occupational Therapist in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.