Individual provider Active NPI

Amanda Seymore, MOTR/L

  • Occupational Therapist
  • Fairfax, VA
National Provider Identifier
1497147714
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119004992 Issued in VA
Practice address
8301 Arlington Blvd Ste T8
Fairfax, VA 22031
Phone
(571) 775-0134
NPI assigned
Feb 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119004992 VA Primary

Addresses

Primary practice location

8301 Arlington Blvd Ste T8
Fairfax, VA 22031

Mailing address

8301 Arlington Blvd Ste T8
Fairfax, VA 22031-2904
Phone (571) 775-0134

Other practice location 1

2402 Route 2
Suite H
Hermon, ME 04401-0665
Phone (207) 848-9009

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0119004992VAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1497147714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 ARLINGTON BLVD STE T8",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312904",
            "telephone_number": "571-775-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 ARLINGTON BLVD STE T8",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "571-775-0134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2402 Route 2",
            "address_2": "Suite H",
            "address_purpose": "LOCATION",
            "city": "Hermon",
            "state": "ME",
            "postal_code": "044010665",
            "country_code": "US",
            "telephone_number": "207-848-9009",
            "fax_number": "207-404-2562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEYMORE",
        "first_name": "AMANDA",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119004992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.