Active NPI
Amanda Lee Edsell, OTR
- Hand Occupational Therapist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- R3009
- Practice address
- 9880 Angies Way Ste 100
Louisville, KY 40241-2851 - Phone
- (502) 339-6490
- Fax
- (502) 339-6492
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | R3009 | KY | Primary |
Addresses
Primary practice location
9880 Angies Way Ste 100
Louisville, KY 40241-2851
Mailing address
405 Wooded Falls Rd
Louisville, KY 40243-2095
Phone (502) 552-7255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9880 Angies Way
Suite 100
Louisville, KY 40241-2851
Phone (502) 339-6490
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SN Kentuckiana Rehab, LLC | Current | Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Current | Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Current | Accepting new patients |
Locations
12000 Aiken Rd
Louisville, KY 40243
Phone (502) 489-5002
210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350
315 E Broadway
Ste 195
Louisville, KY 40202
Phone (502) 589-5961
2152 S Hurstbourne Pkwy
Louisville, KY 40220
Phone (502) 349-6961
2901 Bardstown Rd
Louisville, KY 40205
Phone (502) 459-6307
9880 Angies Way
Ste 100
Lyndon, KY 40241
Phone (502) 209-0649
4420 Dixie Hwy
Ste 122
Shively, KY 40216
Phone (502) 447-2750
Organizations & group practices 3
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.
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1609349018
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1235602616
-
- Rehabilitation Clinic/Center
- Jeffersonville, IN
- NPI 1851864169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398729600000",
"number": "1598836207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 WOODED FALLS RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402432095",
"telephone_number": "502-552-7255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9880 ANGIES WAY STE 100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402412851",
"telephone_number": "502-339-6490",
"fax_number": "502-339-6492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDSELL",
"first_name": "AMANDA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2014-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "KY",
"license": "R3009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.