Amanda Beatty, OTR
Individual provider Active NPI Occupational Therapist · Troy, MO
NPI 1639865892 · NPPES record last updated Apr 12, 2023
Key facts
- NPI
- 1639865892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2023013076 (MO)
- Practice address
- 1484 Boone St
Troy, MO 63379-2216 - Phone
- (636) 290-1840
- NPI assigned
- Apr 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023013076 | MO | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2023013076 | MO | Yes |
Addresses
Primary practice location
1484 Boone St
Troy, MO 63379-2216
Mailing address
41 N Camelot Dr
Troy, MO 63379-2332
Phone (636) 290-1840
Other providers in Troy, MO
- Christine Marie Baumhoff
- Beal Radiology, P.C.
- Brandon Tyler Beal
- Eugene Beal Jr.
- James Von Beattie
- Kelsi Nicole Dunlap Beauchamp
- Heather Dawn Beck
- Martha Lee Beilsmith
- Mary Elizabeth Berk
- Nicole Bernat
All providers in Troy, MO · Occupational Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.