Individual provider Active NPI

Amanda Lee Edsell, OTR

  • Hand Occupational Therapist
  • Louisville, KY
National Provider Identifier
1598836207
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
R3009 Issued in KY
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

Updated by the provider on Apr 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20120301000883 KY Practitioner - Occupational Therapist in Private Practice 3870752397 Reassigns benefits to 1 organization

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
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, 339 clinicians

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

OrganizationSpecialtyStatusNew patients
SN Kentuckiana Rehab, LLC CurrentSince Apr 1, 2019 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Apr 1, 2019 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.

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.

Verify at the official NPI Registry.