Individual provider Active NPI

Amanda Cleary, OT

  • Occupational Therapist
  • Wall Township, NJ
National Provider Identifier
1689362634
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
1345 Campus Pkwy
Wall Township, NJ 07753-6827
Phone
(732) 686-1105
NPI assigned
Apr 27, 2023
Last updated
Apr 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

1345 Campus Pkwy
Wall Township, NJ 07753-6827

Mailing address

22 Secretariat CT
Tinton Falls, NJ 07724-3839

Other practice location 1

160 S Main St
Ocean Grove, NJ 07756-1013
Phone (732) 481-8300

Other practice location 2

689 W Main St
Freehold, NJ 07728-2511
Phone (732) 431-5200

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Arc of Monmouth PastSince Apr 30, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1689362634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SECRETARIAT CT",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 CAMPUS PKWY",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077536827",
            "telephone_number": "732-686-1105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 S Main St",
            "address_purpose": "LOCATION",
            "city": "Ocean Grove",
            "state": "NJ",
            "postal_code": "077561013",
            "country_code": "US",
            "telephone_number": "732-481-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "689 W Main St",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077282511",
            "country_code": "US",
            "telephone_number": "732-431-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "AMANDA",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.