Individual provider Active NPI

Amy Marie Starr, OTR/L

  • Occupational Therapist
  • Thomasville, GA
National Provider Identifier
1639888423
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT003538 Issued in GA
Practice address
423 Covington Ave
Thomasville, GA 31792-5264
Phone
(229) 834-1308
NPI assigned
Nov 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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 OT003538 GA Primary

Addresses

Primary practice location

423 Covington Ave
Thomasville, GA 31792-5264

Mailing address

3768 Ridgemere Dr
Valdosta, GA 31605-4883
Phone (229) 834-1308

Other practice location 1

390 Sweat St
Homerville, GA 31634-2302
Phone (229) 834-1308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT003538GAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1639888423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3768 RIDGEMERE DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316054883",
            "telephone_number": "229-834-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 COVINGTON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925264",
            "telephone_number": "229-834-1308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 Sweat St",
            "address_purpose": "LOCATION",
            "city": "Homerville",
            "state": "GA",
            "postal_code": "316342302",
            "country_code": "US",
            "telephone_number": "229-834-1308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARR",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT003538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.