Amy Bates, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Louisville, KY

NPI 1700277258 · NPPES record last updated Feb 5, 2015

Key facts

NPI
1700277258
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OTA. 05908 (OH)
Practice address
2701 Chestnut Station CT
Louisville, KY 40299-6395
Phone
(800) 335-1060
NPI assigned
Feb 5, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OTA. 05908OHMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA. 05908 OH Yes

Addresses

Primary practice location

2701 Chestnut Station CT
Louisville, KY 40299-6395

Mailing address

601 S College St
Spencerville, OH 45887-1351

Other providers in Louisville, KY

All providers in Louisville, KY · Occupational Therapy Assistant in Kentucky

Sources for this page

Verify at the official NPI Registry.