Active NPI
Amber Reeser, OTR/L
- Occupational Therapist
- Chesapeake, VA
National Provider Identifier
1730588294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119007504
- Practice address
- 680B Kingsborough Square,
Chesapeake, VA 23320 - Phone
- (757) 547-0434
- Fax
- (757) 547-0625
- NPI assigned
- Aug 20, 2014
- 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 | 116345 | TX | |
| Occupational Therapist | 225X00000X | 0119007504 | VA | Primary |
Addresses
Primary practice location
680B Kingsborough Square,
Chesapeake, VA 23320
Mailing address
1377 Motor Parkway Suite 307
Islandia, NY 11749-1607
Phone (631) 580-5200
Other practice location 1
4607 Manchaca Rd
Austin, TX 78745-1607
Phone (512) 916-1511
Other names 1
- Amber Bass
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 |
|---|---|---|---|
| 116345 | TX | MD | Licensed Vocational Nurse |
| 0119007504 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidtherapy, PLLC | Occupational Therapist | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578009600000",
"number": "1730588294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1377 MOTOR PARKWAY SUITE 307",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117491607",
"telephone_number": "631-580-5200",
"fax_number": "631-580-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680B KINGSBOROUGH SQUARE,",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "23320",
"telephone_number": "757-547-0434",
"fax_number": "757-547-0625"
}
],
"practiceLocations": [
{
"address_1": "4607 Manchaca Rd",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787451607",
"country_code": "US",
"telephone_number": "512-916-1511",
"fax_number": "512-916-1532",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REESER",
"first_name": "AMBER",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-20",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "116345",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119007504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "BASS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.