Amanda Ranttila, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

12021 Issued in MA

Practice address

100 Cummings Ctr Ste 350G
Beverly, MA 01915-6136

Phone

(978) 712-0003

NPI assigned

Aug 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Peer Projects, LLC

  • Speech-Language Pathologist
  • Beverly, MA
  • NPI 1649416942
  NPD (past)

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1629624036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HERITAGE DR APT 32",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702008",
            "telephone_number": "802-733-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 350G",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156136",
            "telephone_number": "978-712-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANTTILA",
        "first_name": "AMANDA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "12021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "12021",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Randall-Miller
• Stacy Randall, RN
• Keith Rando, LMHC
• Randolph D. Maloney, M.D., PC
• Tanya Ranke
• Nicole Rapkowicz
• Joan Cecile Rapp, M. ED
• Vladimir Ratushny, M.D., PH.D.
• Caroline Elizabeth Raymond, MS CCC-SLP
• Samantha Raymond

• Pediatric Occupational Therapist in Beverly, MA
• Providers in Beverly, MA by specialty
• Pediatric Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.