Individual provider Active NPI

Amy Hillmon

  • Occupational Therapy Assistant
  • Neosho, MO
National Provider Identifier
1790161503
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
18-01130 Issued in KS
Practice address
1105 Village Rd
Neosho, MO 64850-9076
Phone
(800) 381-0822
Fax
(352) 565-5201
NPI assigned
Aug 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 18-01130 KS Primary

Addresses

Primary practice location

1105 Village Rd
Neosho, MO 64850-9076

Mailing address

8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Phone (800) 381-0822

Other practice location 1

407 Senior St
Waverly, KS 66871
Phone (785) 733-2666

Other names 1

  • Amy Stwalley Former name

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
18-01130KSMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1790161503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8477 S SUNCOAST BLVD",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344465028",
            "telephone_number": "800-381-0822",
            "fax_number": "352-565-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 VILLAGE RD",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648509076",
            "telephone_number": "800-381-0822",
            "fax_number": "352-565-5201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 Senior St",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "KS",
            "postal_code": "66871",
            "country_code": "US",
            "telephone_number": "785-733-2666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLMON",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KS",
            "license": "18-01130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "STWALLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Neosho, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.