Amanda Michelle Converse-Rath, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

23250 Issued in CA

Practice address

8755 Aero Dr Ste 100
San Diego, CA 92123-1750

Phone

(619) 587-2232

NPI assigned

Feb 1, 2022

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

Other names 1

• Amanda Michelle Broton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1790438554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 ALLIANCE CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191522",
            "telephone_number": "619-733-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8755 AERO DR STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231750",
            "telephone_number": "619-587-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONVERSE-RATH",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "23250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BROTON",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Freddy Contreraslubo
• Rachel Controulis
• Joseph Conty, PHARM.D.
• Jonayacel Bernice Conui - Avery
• Myhasa Linn Converse Phimmasone, LVN
• Casey Elizabeth Converse, OT
• Alyssa Convirse Dorado
• Conway DDS Inc.
• Allegra Conway, RN, WHNP-BC
• Andre Conway, IDC STUDENT

• Occupational Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.