Active NPI
Amy Elizabeth Condon, OTL
- Occupational Therapist
- Wilmington, NC
National Provider Identifier
1710001680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3643
- Practice address
- 2744 S 17TH St
Wilmington, NC 28412-6606 - Phone
- (910) 794-3319
- NPI assigned
- Mar 18, 2007
- 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 | 3643 | NC | Primary |
Addresses
Primary practice location
2744 S 17TH St
Wilmington, NC 28412-6606
Mailing address
2744 S 17TH St
Wilmington, NC 28412-6606
Phone (910) 794-3319
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3643 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Gift School, LLC | Occupational Therapist | Current | 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 and National Provider Directory roles.
-
- Occupational Therapist
- Southport, NC
- NPI 1083501738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710001680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2744 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126606",
"telephone_number": "910-794-3319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2744 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126606",
"telephone_number": "910-794-3319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDON",
"first_name": "AMY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "OTL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "3643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.