Active NPI
Amanda Marie Willnerd, OTR
- Occupational Therapist
- Jamaica, NY
National Provider Identifier
1518155332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 014809-1
- Practice address
- 17850 Linden Blvd
Jamaica, NY 11434-1467 - Phone
- (718) 990-0300
- NPI assigned
- Oct 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 014809-1 | NY | Primary |
Addresses
Primary practice location
17850 Linden Blvd
Jamaica, NY 11434-1467
Mailing address
300 E 93Rd St
Apt. #27a
New York, NY 10128-6101
Phone (713) 392-4489
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 |
|---|---|---|---|
| 014809-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191542400000",
"number": "1518155332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E 93RD ST",
"address_2": "APT. #27A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101286101",
"telephone_number": "713-392-4489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17850 LINDEN BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114341467",
"telephone_number": "718-990-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLNERD",
"first_name": "AMANDA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-05",
"last_updated": "2007-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "014809-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.