Adam Michael Andrada

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

211306 Issued in TX

Practice address

6641 W Amarillo Blvd
Amarillo, TX 79106-1755

Phone

(806) 352-8800

NPI assigned

Nov 13, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1497224000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 ONEILL DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095021",
            "telephone_number": "806-881-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6641 W AMARILLO BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061755",
            "telephone_number": "806-352-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADA",
        "first_name": "ADAM",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "211306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel May Anderson, MD
• Richard Ivan Anderson, CRNA
• Sean Daniel Anderson, MD
• Vanessa Ransom Anderson, OPTOMETRIST
• Wesley James Anderson, O.D.
• Robert Edward Andrade
• Andrew F Brooker M.D.
• John L Andrew, MD
• Ashli N Andrews, LCSW
• Randolph J Andrews, DC

• Occupational Therapist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.