Amanda Leah Mirandy, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT004855 Issued in GA

Practice address

29 Topridge Dr
Cartersville, GA 30120-6188

Phone

(770) 546-5184

NPI assigned

Jan 21, 2017

Last updated

Feb 11, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Earthshine Therapy LLC

  • Occupational Therapist
  • Cartersville, GA
  • NPI 1720526650
  NPD (past) Authorized official

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

{
    "created_epoch": "1484956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486771200000",
    "number": "1790222305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 TOPRIDGE DR",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301206188",
            "telephone_number": "770-546-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 TOPRIDGE DR",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301206188",
            "telephone_number": "770-546-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDY",
        "first_name": "AMANDA",
        "middle_name": "LEAH",
        "name_prefix": "Mrs.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-21",
        "last_updated": "2017-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Dawn Millsap, CNM
• Lori W Millsap, NP
• Milton Brown &Associates, Inc. (Eastchester Family Services)
• Milton Brown and Associates, Inc. (Eastchester Family Services)
• Keri Jean Mims, MA
• Ariana Mirshahi, PT, DPT
• Mockingbird Dental Associates
• Mohammed Abbas Momin, M.D.
• Maria Cristina Moncayo Gilstrap
• Aman Mongia, M.D.

• Occupational Therapist in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2017; 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.