Individual provider Active NPI

Amy Nesselhauf, OTR/L

  • Occupational Therapist
  • Saint Louis, MO
National Provider Identifier
1790530558
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
004972 Issued in MO
Practice address
Friendship Village Sunset Hills Skilled Nursing
12563 Village Cir Drive
Saint Louis, MO 63127
Phone
(314) 270-7700
NPI assigned
Apr 23, 2024
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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 004972 MO Primary

Addresses

Primary practice location

Friendship Village Sunset Hills Skilled Nursing
12563 Village Cir Drive
Saint Louis, MO 63127

Mailing address

7118 Underoak Rd
Saint Louis, MO 63129-3915
Phone (314) 779-4952

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
004972MOMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1790530558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7118 UNDEROAK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631293915",
            "telephone_number": "314-779-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FRIENDSHIP VILLAGE SUNSET HILLS SKILLED NURSING",
            "address_2": "12563 VILLAGE CIR DRIVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63127",
            "telephone_number": "314-270-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESSELHAUF",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "004972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.