Active NPI
Amy M Delawder, OT
- Occupational Therapist
- Jackson, OH
National Provider Identifier
1669621249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0055577
- Practice address
- 280 Pattonsville Rd
Jackson, OH 45640-9452 - Phone
- (740) 395-8868
- Fax
- (740) 395-8819
- NPI assigned
- Sep 18, 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 | 0055577 | OH | Primary |
Addresses
Primary practice location
280 Pattonsville Rd
Jackson, OH 45640-9452
Mailing address
90 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 395-8805
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000289357 | Other | OH MEDICAID UNISON | |
| 3027710 | Other | OH | MOLINA MEDICAID |
| 3027710 | Medicaid | OH | |
| P00787206 | Other | RAILROAD MEDICARE | |
| 3810016701 | Medicaid | WV |
Other names 1
- Amy M Hewitt
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0055577 | OH | MD | Occupational Therapist |
Interoperability endpoints
- amy.delawder.1@17389.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1669621249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 JACKSON PIKE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311560",
"telephone_number": "740-395-8805",
"fax_number": "740-395-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 PATTONSVILLE RD",
"city": "JACKSON",
"state": "OH",
"postal_code": "456409452",
"telephone_number": "740-395-8868",
"fax_number": "740-395-8819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELAWDER",
"first_name": "AMY",
"middle_name": "M",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-18",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "0055577",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH MEDICAID UNISON",
"identifier": "000000289357",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA MEDICAID",
"identifier": "3027710",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3027710",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00787206",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810016701",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "HEWITT",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Jackson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.