Individual provider Active NPI

Amanda Lynnette Hambel, COTA/L

  • Occupational Therapy Assistant
  • New Lexington, OH
National Provider Identifier
1619215498
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2622 Issued in OH
Practice address
9769 Marietta Rd SE
New Lexington, OH 43764-9101
Phone
(740) 342-1737
NPI assigned
Jan 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 175264 OH
Social Worker 104100000X S.2005703 OH
Occupational Therapy Assistant 224Z00000X 2622 OH Primary

Addresses

Primary practice location

9769 Marietta Rd SE
New Lexington, OH 43764-9101

Mailing address

9769 Marietta Rd SE
New Lexington, OH 43764-9101
Phone (740) 342-1737

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

LicenseStateTypeSpecialty
175264OHMDCounselor
S.2005703OHMDSocial Worker
2622OHMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1619215498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9769 MARIETTA RD SE",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437649101",
            "telephone_number": "740-342-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9769 MARIETTA RD SE",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437649101",
            "telephone_number": "740-342-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBEL",
        "first_name": "AMANDA",
        "middle_name": "LYNNETTE",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "175264",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2005703",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "2622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lexington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.