Amy Marie Paine, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

4857-027 Issued in WI

Practice address

3300 West Brewster Street
Appleton, WI 54914-1699

Phone

(920) 832-1657

Fax

(920) 968-4153

NPI assigned

Nov 17, 2011

Last updated

Nov 17, 2011By the provider in NPPES

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": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1659648855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WEST BREWSTER STREET",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141699",
            "telephone_number": "920-832-1657",
            "fax_number": "920-968-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WEST BREWSTER STREET",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141699",
            "telephone_number": "920-832-1657",
            "fax_number": "920-968-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINE",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "4857-027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Marie Pagel, CNM
• Kavitha Paidipati, DMD
• Pain Centers of Wisconsin - Appleton, LLC
• Pain Centers of Wisconsin - Appleton, LLC
• Pain Relief 1 LLC
• Jolanta M Pajek, D.D.S.
• Kristen Pallex, ATC, LAT
• Paola A Palma Sisto, MD
• Jillian Lee Palmbach, 17632-130
• Alex James Palubicki

• Occupational Therapy Assistant in Appleton, WI
• Providers in Appleton, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.