Amanda Broadhurst, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119008322 Issued in VA

Practice address

2445 Army Navy Dr Ste 305
Arlington, VA 22206-2988

Phone

(703) 813-6330

Fax

(301) 710-6379

NPI assigned

May 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1649845108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 ARMY NAVY DR STE 305",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222062988",
            "telephone_number": "703-813-6330",
            "fax_number": "301-710-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 ARMY NAVY DR STE 305",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222062988",
            "telephone_number": "703-813-6330",
            "fax_number": "301-710-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADHURST",
        "first_name": "AMANDA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119008322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tess E Briggs, P.A.
• Carol Paige Bringham, O.D.
• Ashley M Brinker, DNP, WHNP-BC
• Jessica T. Briscoe-Coleman, P.T.
• Alison G Broadbent, PAC
• Ann K Brokaw, CRNP
• Amy Kristine Bronick, FNP
• Brooke's Home Healthcare Services LLC
• Alfred Bennette Brooks, M.D.
• Natalie Brooks

• Occupational Therapist in Arlington, VA
• Providers in Arlington, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.