Amanda Theresa Vaicikauskas

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2020006487 Issued in MO

Practice address

12349 Depaul Drive
Suite 110
Bridgeton, MO 63044

Phone

(314) 209-7700

NPI assigned

Mar 20, 2020

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Independent Physical Therapy, LLC

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1104878354

  Occupational Therapist

  NPD
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD
• Select Physical Therapy Holdings Inc

  • Rehabilitation Clinic/Center
  • Smyrna, TN
  • NPI 1619939766
  NPD
• Select Physical Therapy Holdings, Inc.

  • Rehabilitation Clinic/Center
  • Franklin, TN
  • NPI 1306503669

  Occupational Therapist

  NPD
• SSM Health Care St Louis

  • Emergency Medicine Physician
  • Fenton, MO
  • NPI 1275586174
  NPD (past)
• SSM Select Rehab St. Louis, LLC

  • Rehabilitation Practitioner
  • Breese, IL
  • NPI 1740166347
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 9, 2024.

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1689200727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12349 DEPAUL DRIVE",
            "address_2": "SUITE 110",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "63044",
            "telephone_number": "314-209-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12349 DEPAUL DRIVE",
            "address_2": "SUITE 110",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "63044",
            "telephone_number": "314-209-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAICIKAUSKAS",
        "first_name": "AMANDA",
        "middle_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "0000006593",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2020006487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolonda Tyler
• Ashfaq Ullah, MD
• Under Grace Adult Day Program
• United Investors LP
• Derek Vadnal, DMD
• Emily A Vallarta, LPC
• Jaina Vallarta, RN, MSN, APRN-BC
• Vijayalakshmi Vallurupalli, MD
• Van'S Home Health, LLC
• Rosa Vance, LMSW

• All providers in Bridgeton, MO
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.