Individual provider Active NPI

Amy Harris, OTR, MSOT

  • Occupational Therapist
  • Indianapolis, IN
National Provider Identifier
1629629936
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
8702 Founders Rd
Indianapolis, IN 46268-1337
Phone
(317) 452-9430
NPI assigned
Sep 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X IN Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

8702 Founders Rd
Indianapolis, IN 46268-1337

Mailing address

3786 Gray Heather LN
Whitestown, IN 46075-9786
Phone (812) 319-5749

Other names 1

  • Amy Brandenstein Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201209000785 IN Practitioner - Occupational Therapist in Private Practice 7214349646 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Occupational Therapist CurrentSince Oct 23, 2025 Accepting new patients
Shine Pediatric Therapy, LLC Occupational Therapist CurrentSince Mar 11, 2025 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Oct 23, 2025 Accepting new patients

Locations

8702 Founders Rd
Indianapolis, IN 46268
Phone (317) 452-9430

9002 N Meridian St
Ste 111
Indianapolis, IN 46260
Phone (317) 779-3530

8741 Founders Rd
Indianapolis, IN 46268
Phone (317) 452-9430

1805 E Hoffer St
Kokomo, IN 46902
Phone (765) 450-7261

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": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1629629936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3786 GRAY HEATHER LN",
            "city": "WHITESTOWN",
            "state": "IN",
            "postal_code": "460759786",
            "telephone_number": "812-319-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8702 FOUNDERS RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681337",
            "telephone_number": "317-452-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "AMY",
        "credential": "OTR, MSOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BRANDENSTEIN",
            "credential": "OTR, MSOT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.