Individual provider Active NPI

Amanda R Green, MS, OTR/L

  • Occupational Therapist
  • Newton, NJ
National Provider Identifier
1629932009
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00827900 Issued in NJ
Practice address
12 Lawrence Rd Ste 201
Newton, NJ 07860-2822
Phone
(973) 948-7595
NPI assigned
Dec 10, 2025
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00827900 NJ Primary

Addresses

Primary practice location

12 Lawrence Rd Ste 201
Newton, NJ 07860-2822

Mailing address

45 Tamarack Rd
Byram Township, NJ 07821-3928
Phone (973) 948-7595

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260122000961 NJ Practitioner - Occupational Therapist in Private Practice 8426535394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cunico Enterprises IncGroup PAC ID 8123250487, 6 clinicians

Practice addresses (Care Compare)

12 Lawrence Rd
Suite 201
Newton, NJ 07860-2822
Phone (973) 948-7595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
46TR00827900NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cunico Enterprises, Inc. CurrentSince Dec 29, 2025 Accepting new patients
North Jersey Integrated Medical PC Occupational Therapist PastSince Dec 14, 2025 Accepting new patients

Locations

12 Lawrence Rd
Ste 201
Newton, NJ 07860
Phone (973) 948-7595

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1629932009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 TAMARACK RD",
            "city": "BYRAM TOWNSHIP",
            "state": "NJ",
            "postal_code": "078213928",
            "telephone_number": "973-948-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LAWRENCE RD STE 201",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602822",
            "telephone_number": "973-948-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "AMANDA",
        "middle_name": "R",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00827900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.