Active NPI
Amelia Celeste Treadway, COTA/L
- Occupational Therapy Assistant
- Cincinnati, OH
National Provider Identifier
1801155254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA.04961
- Practice address
- 3995 Cottingham Dr
Cincinnati, OH 45241-1680 - Phone
- (513) 563-3600
- NPI assigned
- May 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA.04961 | OH | Primary |
Addresses
Primary practice location
3995 Cottingham Dr
Cincinnati, OH 45241-1680
Mailing address
15618 Hillcrest Rd
Mount Orab, OH 45154-8507
Phone (937) 444-5214
Other names 1
- Miss Amelia Celeste Opperman
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA.04961 | OH | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etta L. Charlebois Lisw-S LLC | Current | Accepting new patients |
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.
-
- Clinical Social Worker
- Mount Orab, OH
- NPI 1093281065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336089600000",
"number": "1801155254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15618 HILLCREST RD",
"city": "MOUNT ORAB",
"state": "OH",
"postal_code": "451548507",
"telephone_number": "937-444-5214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3995 COTTINGHAM DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452411680",
"telephone_number": "513-563-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREADWAY",
"first_name": "AMELIA",
"middle_name": "CELESTE",
"name_prefix": "Miss",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-04",
"last_updated": "2012-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OH",
"license": "OTA.04961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMELIA",
"last_name": "OPPERMAN",
"middle_name": "CELESTE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cincinnati, OH
- Emily Elizabeth Travis, PHARMD
- Madison Travis, APRN-CNP
- Quinten Travis, DMD
- Rebecca J Travis
- Azpen Traylor
- Victoria Gene Treadway, MD
- Treasure Enrichment Zone Healthcare & Training Center LLC (Treasure Enrichment Zone Home Care Agency LLC)
- Treasure Enrichment Zone Homecare LLC
- Jennifer Dean Treasure, M.D.
- Allyson Margaret Trebbi, ALLYSON TREBBI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.