Active NPI
Amanda Maloney, OTR, OTD
- Occupational Therapist
- Fort Campbell, KY
National Provider Identifier
1740005842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- BLDG 3219 47TH St & Kentucky Ave
Fort Campbell, KY 42223 - Phone
- (270) 461-3894
- NPI assigned
- Nov 22, 2024
- Last updated
- Nov 22, 2024
- 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 | TN | Primary |
Addresses
Primary practice location
BLDG 3219 47TH St & Kentucky Ave
Fort Campbell, KY 42223
Mailing address
934 Hedge Apple Dr
Clarksville, TN 37040-2876
Phone (702) 843-3993
Other names 1
- Amanda Maloney
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1740005842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "934 HEDGE APPLE DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370402876",
"telephone_number": "702-843-3993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 3219 47TH ST & KENTUCKY AVE",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "42223",
"telephone_number": "270-461-3894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONEY",
"first_name": "AMANDA",
"credential": "OTR, OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-22",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "MALONEY",
"credential": "OTR, OTD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fort Campbell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.