Active NPI
Amanda Kay Robbins, MOTR/L
- Pediatric Occupational Therapist
- Saint Clair, MO
National Provider Identifier
1720139041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2003020425
- Practice address
- 1773 W Springfield Rd
Saint Clair, MO 63077-4420 - Phone
- (636) 629-3571
- NPI assigned
- Jan 15, 2007
- Last updated
- Oct 14, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2003020425 | MO | |
| Pediatric Occupational Therapist | 225XP0200X | 2003020425 | MO | Primary |
Addresses
Primary practice location
1773 W Springfield Rd
Saint Clair, MO 63077-4420
Mailing address
820 Stone Gate Dr.
Desoto, MO 63020
Phone (314) 704-3443
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003020425 | MO | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozark Physical Therapy, LLP | Past | 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.
-
- Durable Medical Equipment & Medical Supplies
- Poplar Bluff, MO
- NPI 1942272836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287014400000",
"number": "1720139041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 STONE GATE DR.",
"city": "DESOTO",
"state": "MO",
"postal_code": "63020",
"telephone_number": "314-704-3443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1773 W SPRINGFIELD RD",
"city": "SAINT CLAIR",
"state": "MO",
"postal_code": "630774420",
"telephone_number": "636-629-3571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBBINS",
"first_name": "AMANDA",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2010-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2003020425",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MO",
"license": "2003020425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.