Active NPI
Amelia M Abbott, COTA/L
- Occupational Therapy Assistant
- Glasgow, WV
National Provider Identifier
1659920619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- C1766
- Practice address
- 120 Melrose Drive
Glasgow Health and Rehab Care
Glasgow, WV 25086 - Phone
- (304) 595-1155
- NPI assigned
- Sep 11, 2019
- Last updated
- Sep 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | C1766 | WV | Primary |
Addresses
Primary practice location
120 Melrose Drive
Glasgow Health and Rehab Care
Glasgow, WV 25086
Mailing address
120 Melrose Drive
Glasgow, WV 25086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C1766 | Other | WV | COTA/L |
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 |
|---|---|---|---|
| C1766 | WV | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1659920619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 MELROSE DRIVE",
"city": "GLASGOW",
"state": "WV",
"postal_code": "25086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 MELROSE DRIVE",
"address_2": "GLASGOW HEALTH AND REHAB CARE",
"city": "GLASGOW",
"state": "WV",
"postal_code": "25086",
"telephone_number": "304-595-1155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBOTT",
"first_name": "AMELIA",
"middle_name": "M",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WV",
"license": "C1766",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COTA/L",
"identifier": "C1766",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glasgow, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.