Amanda Glaske, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA04395 Issued in OH

Practice address

705 S Main St Ste 220
Plymouth, MI 48170-5436

Phone

(734) 354-8000

NPI assigned

Feb 24, 2012

Last updated

Feb 24, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1487928362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9251 MARLENE DR",
            "city": "BARODA",
            "state": "MI",
            "postal_code": "491019737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S MAIN ST STE 220",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481705436",
            "telephone_number": "734-354-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASKE",
        "first_name": "AMANDA",
        "name_prefix": "Miss",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA04395",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.002884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Giraldo
• Ambur JM Girardin
• Alexander Gish
• Tarin Gitlin, M.D.
• Jorida Gjylameti
• Carlton L Glass
• Paul Richard Glass
• Anna Glauber
• Glenn R. Curtis, D.D.S.,P.L.L.C.
• Richard Glenn

• Occupational Therapy Assistant in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.