Individual provider Active NPI

Amanda Lynn Thurlow, MSOT, OTRL

  • Occupational Therapist
  • Concord, NC
National Provider Identifier
1578123758
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
12322 Issued in NC
Practice address
8440 Pit Stop CT NW
Concord, NC 28027-8245
Phone
(704) 960-1729
NPI assigned
Jun 19, 2019
Last updated
Jun 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 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 12322 NC Primary

Addresses

Primary practice location

8440 Pit Stop CT NW
Concord, NC 28027-8245

Mailing address

8440 Pit Stop CT NW
Concord, NC 28027-8245
Phone (704) 960-1729

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
12322NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Michigan, LLC Occupational Therapist CurrentSince Apr 17, 2023 Accepting new patients
Peak Rehab LLC Occupational Therapist CurrentSince Jan 10, 2025 Accepting new patients

Locations

135 S Milford Rd
Milford, MI 48381
Phone (248) 685-7272

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1578123758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 PIT STOP CT NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278245",
            "telephone_number": "704-960-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 PIT STOP CT NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278245",
            "telephone_number": "704-960-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURLOW",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "MSOT, OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "12322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.