Amanda Michelle Hauser, COTA, LMT

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0131001545 Issued in VA

Practice address

3630 George Washington Mem Hwy Ste a
Yorktown, VA 23693-3350

Phone

(757) 867-9424

NPI assigned

Oct 9, 2019

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

Other identifiers 1

Other names 1

• Miss Amanda Michelle Newberry Former name

Electronic endpoints 1

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": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1659913770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 SANDY HILL WAY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233226405",
            "telephone_number": "703-298-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 GEORGE WASHINGTON MEM HWY STE A",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236933350",
            "telephone_number": "757-867-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSER",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "COTA, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131001545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA DEPARTMENT OF HEALTH PROFESSIONALS",
            "identifier": "0131001545",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "FusionWebClinic.com",
            "affiliation": "N",
            "endpointDescription": "Documentation and scheduling system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3630 George Washington Mem Hwy Ste A",
            "city": "Yorktown",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236933350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "NEWBERRY",
            "middle_name": "MICHELLE",
            "prefix": "MISS",
            "credential": "COTA, LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robbie Shiran Harris
• James E Harrison Jr., D.D.S., P.C.
• Randolph Bryhn Harrison, M.D.
• Elizabeth Meghan Hartley, PHARMACY TECH
• Justin Harvison, CCC-SLP
• Brandie Devon Hawthorne, DOULA
• Christine L Hennigan, MS, LPC, LSATP, CSAC
• Heritage Pharmacy LLC
• Tiffany Reynolds Hermann, RBT
• Elizabeth Trent Hill, RPH

• Occupational Therapy Assistant in Yorktown, VA
• Providers in Yorktown, VA by specialty
• Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.