Individual provider Active NPI

Amanda Wheeler, OTR/L

  • Occupational Therapist
  • Hartsdale, NY
National Provider Identifier
1508527649
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
015607 Issued in NY
Practice address
18 Dunham Rd
Hartsdale, NY 10530-1213
Phone
(203) 906-6914
NPI assigned
Dec 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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 015607 NY Primary

Addresses

Primary practice location

18 Dunham Rd
Hartsdale, NY 10530-1213

Mailing address

18 Dunham Rd
Hartsdale, NY 10530-1213
Phone (203) 906-6914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220112000976 NY Practitioner - Occupational Therapist in Private Practice 6901298561 Reassigns benefits to 1 organization
I20230720001228 CT Practitioner - Occupational Therapist in Private Practice 6901298561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SDK Physical and Occupational Therapy PLLCGroup PAC ID 5395136964, 8 clinicians

Practice addresses (Care Compare)

1 Bank St
Suite 207
Stamford, CT 06901-3006
Phone (917) 273-8225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015607NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Physical and Occupational Therapy Services, PLLC Occupational Therapist CurrentSince Jan 6, 2022 Accepting new patients
SDK Physical and Occupational Therapy, PLLC Occupational Therapist CurrentSince Jun 10, 2023 Accepting new patients

Locations

1 Bank St
Ste 207
Stamford, CT 06901
Phone (203) 324-3562

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

119 W 57th St
Ste 212
New York, NY 10019
Phone (212) 421-1740

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1508527649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 DUNHAM RD",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301213",
            "telephone_number": "203-906-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 DUNHAM RD",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301213",
            "telephone_number": "203-906-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "AMANDA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.