Active NPI
Amie Black, OTR
- Occupational Therapist
- Austin, TX
National Provider Identifier
1659541217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 103719
- Practice address
- 6001 W William Cannon Dr
Suite 304
Austin, TX 78749-1968 - Phone
- (512) 394-0735
- NPI assigned
- Mar 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 103719 | TX | Primary |
Addresses
Primary practice location
6001 W William Cannon Dr
Suite 304
Austin, TX 78749-1968
Mailing address
8519 N Capital of Texas Hwy
Apt. 1040
Austin, TX 78759-8454
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
| License | State | Type | Specialty |
|---|---|---|---|
| 103719 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1659541217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8519 N CAPITAL OF TEXAS HWY",
"address_2": "APT. 1040",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 W WILLIAM CANNON DR",
"address_2": "SUITE 304",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787491968",
"telephone_number": "512-394-0735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "AMIE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-10",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "103719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.