Amanda Jean Entress, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

021675 Issued in NY

Practice address

3599 Big Ridge Rd
Spencerport, NY 14559-1709

Phone

(585) 352-2400

NPI assigned

Aug 31, 2017

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

Credentials

Master of Science

State licenses

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.

• Boces2

  • Developmentally Disabled Services Day Training Agency
  • Spencerport, NY
  • NPI 1154605533
  NPD (past)
• Monroe 2 Orleans Boces

  • Local Education Agency (LEA)
  • Spencerport, NY
  • NPI 1053109843
  NPD (past)

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1487172250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DAWNHAVEN DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241652",
            "telephone_number": "585-705-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 BIG RIDGE RD",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591709",
            "telephone_number": "585-352-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTRESS",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "name_prefix": "Miss",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilary Dzina, MS,OT
• June Ebersold
• Krystal June Eichas, M.S., CCC-SLP, NYS-L
• Jennifer Eisenhauer
• Heather J Elias, OTR
• Traci-Lynn Marie Farley, M.S., CCC-A
• Ryan Paul Favata, LPN
• Heather L Fellows
• Elizabeth Feltner, MD
• Marina Z Fery

• Occupational Therapist in Spencerport, NY
• Providers in Spencerport, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.