Active NPI
Amanda Nicole Seckrettar, OT
- Occupational Therapist
- Vineland, NJ
National Provider Identifier
1497008742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR0049000
- Practice address
- 1051 W Sherman Ave
Vineland, NJ 08360-6931 - Phone
- (856) 696-5656
- Fax
- (856) 696-0580
- NPI assigned
- Oct 24, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR0049000 | NJ | Primary |
Addresses
Primary practice location
1051 W Sherman Ave
Vineland, NJ 08360-6931
Mailing address
1700 Olympus Ave
Blackwood, NJ 08012-5040
Phone (609) 234-5479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR0049000 | NJ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351036800000",
"number": "1497008742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 OLYMPUS AVE",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "080125040",
"telephone_number": "609-234-5479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 W SHERMAN AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083606931",
"telephone_number": "856-696-5656",
"fax_number": "856-696-0580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SECKRETTAR",
"first_name": "AMANDA",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-24",
"last_updated": "2012-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR0049000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.