Amy Pelotte

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC018274 Issued in PA

Practice address

105 Heritage Rd
Lancaster, PA 17602-1597

Phone

(717) 663-8307

NPI assigned

Jan 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Functional Freedom LLCGroup PAC ID 6406104728, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Functional Freedom LLC

  • Occupational Therapist
  • Lancaster, PA
  • NPI 1861989493
  Medicare reassignment Care Compare group NPD
• Woccupational Therapy Associates LLC

  • Occupational Therapist
  • Wyomissing, PA
  • NPI 1801627278
  NPD

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

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643414400000",
    "number": "1639822760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 WINDEMERE LN",
            "city": "LANDISVILLE",
            "state": "PA",
            "postal_code": "175381560",
            "telephone_number": "717-682-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HERITAGE RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176021597",
            "telephone_number": "717-663-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELOTTE",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-29",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI001835",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC018274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen R. Peckham, CRNP
• Sharmaine Pecson, DDS
• Pediatric Neurology Associates, P.C.
• Brian Scott Peers, MPT
• Stephen G Pelle, DMD
• Rekha Penmetcha, DMD
• Penn Orthopedics of Lancaster, LTD
• Penn State Health Lancaster Medical Center
• Penn State Health Lancaster Medical Center
• Penn State Health Medical Group, LLC

• Occupational Therapist in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2022; 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.