Amanda Kathryn Trease, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

9120960-4202 Issued in UT

Practice address

5648 South Adams Ave.
Washington Terrace, UT 84405

Phone

(601) 475-0500

NPI assigned

Nov 5, 2015

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 names 1

• Amanda Kathryn Warren Former name

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": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1699148171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E 2300 N",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844147252",
            "telephone_number": "801-791-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5648 SOUTH ADAMS AVE.",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "84405",
            "telephone_number": "601-475-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREASE",
        "first_name": "AMANDA",
        "middle_name": "KATHRYN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "UT",
            "license": "9120960-4202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WARREN",
            "middle_name": "KATHRYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jenifer Rebecca Nilson Smith, P.T.
• South Ogden Pediatric Dental P.C.
• Rolanda Daisy Steele
• Therapeuo Health
• Timber Ridge Holdings LLC
• Utah Orthopaedics LLC
• Lorena Alicia Villarreal de Cantu, PA
• Washington Heights Healthcare, Inc.
• Wayne E Smith MD PC
• Weber Human Services

• Occupational Therapy Assistant in Washington Terrace, UT
• Providers in Washington Terrace, UT by specialty
• Occupational Therapy Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.