Individual provider Active NPI

Amanda Rutter, MS, OTR/L

  • Pediatric Occupational Therapist
  • Arlington, VA
National Provider Identifier
1780927012
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT010001315 Issued in DC
Practice address
2301 Columbia Pike
Suite 125
Arlington, VA 22204
Phone
(202) 544-5439
Fax
(202) 379-1797
NPI assigned
Apr 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 017913-1 NY
Pediatric Occupational Therapist 225XP0200X OT010001315 DC Primary

Addresses

Primary practice location

2301 Columbia Pike
Suite 125
Arlington, VA 22204

Mailing address

3201 Varnum St
Mount Rainier, MD 20712-1653
Phone (202) 549-1007

Other practice location 1

1301 Pennsylvania Ave SE Bsmt
Washington, DC 20003-3027
Phone (202) 544-5439

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
017913-1NYMDOccupational Therapist
OT010001315DCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Skills on the Hill, LLC Occupational Therapist CurrentSince Aug 1, 2022 Accepting new patients

Locations

1301 Pennsylvania Ave SE
Bsmt
Washington, DC 20003
Phone (202) 335-7968

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": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1780927012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 VARNUM ST",
            "city": "MOUNT RAINIER",
            "state": "MD",
            "postal_code": "207121653",
            "telephone_number": "202-549-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 COLUMBIA PIKE",
            "address_2": "SUITE 125",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22204",
            "telephone_number": "202-544-5439",
            "fax_number": "202-379-1797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Pennsylvania Ave SE Bsmt",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200033027",
            "country_code": "US",
            "telephone_number": "202-544-5439",
            "fax_number": "202-379-1797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTTER",
        "first_name": "AMANDA",
        "name_prefix": "Miss",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017913-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "DC",
            "license": "OT010001315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.