Individual provider Active NPI

Amanda Jean Wilkening, MOTR/L

  • Occupational Therapist
  • Mankato, MN
National Provider Identifier
1730350802
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
103485 Issued in MN
Practice address
150 Saint Andrews CT
Suite 310
Mankato, MN 56001-8659
Phone
(507) 388-5437
Fax
(507) 388-2108
NPI assigned
Mar 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1451 NE
Occupational Therapist 225X00000X 103485 MN Primary
Occupational Therapist 225X00000X OTR2417 AR

Addresses

Primary practice location

150 Saint Andrews CT
Suite 310
Mankato, MN 56001-8659

Mailing address

150 Saint Andrews CT
Suite 310
Mankato, MN 56001-8659
Phone (507) 388-5437

Other identifiers 1

IdentifierTypeStateIssuer
187 988 721MedicaidAR

Other names 1

  • Amanda Jean Senal Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190610000610 MN Practitioner - Occupational Therapist in Private Practice 0648503573 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTR2417ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mankato Clinic LTD CurrentSince Jul 1, 2019 Accepting new patients
Pediatric Therapy Services Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amandasenal@mklt.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1730350802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SAINT ANDREWS CT",
            "address_2": "SUITE 310",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018659",
            "telephone_number": "507-388-5437",
            "fax_number": "507-388-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SAINT ANDREWS CT",
            "address_2": "SUITE 310",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018659",
            "telephone_number": "507-388-5437",
            "fax_number": "507-388-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKENING",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "1451",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "103485",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR2417",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187 988 721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SENAL",
            "middle_name": "JEAN",
            "credential": "MOTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.