Individual provider Active NPI

Amandah Sarah Soriano, OTR

  • Occupational Therapist
  • Queens Village, NY
National Provider Identifier
1750656211
Registry record updated Sep 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
014922 Issued in NY
Practice address
8709 218TH PL
Apt. 2R
Queens Village, NY 11427-1930
Phone
(718) 314-4226
Fax
(848) 260-3496
NPI assigned
Mar 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 014922 NY Primary

Addresses

Primary practice location

8709 218TH PL
Apt. 2R
Queens Village, NY 11427-1930

Mailing address

468 Lake Rd
Ocala, FL 34472-2720
Phone (718) 314-4226

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Ocala

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

LicenseStateTypeSpecialty
014922NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569715200000",
    "number": "1750656211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 LAKE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344722720",
            "telephone_number": "718-314-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8709 218TH PL",
            "address_2": "APT. 2R",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271930",
            "telephone_number": "718-314-4226",
            "fax_number": "848-260-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIANO",
        "first_name": "AMANDAH",
        "middle_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-16",
        "last_updated": "2019-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ocala",
            "affiliation": "N",
            "address_1": "468 Lake Rd",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344722720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.