Amy Lynn Eagens, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31004819A Issued in IN

Practice address

1175 Luther Dr
Crown Point, IN 46307-5054

Phone

(219) 546-2226

Fax

(224) 661-6758

NPI assigned

Nov 8, 2022

Last updated

Nov 8, 2022By 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)

Enrolled

State licenses

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1801504949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5824 PHILLIPS RD",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463755337",
            "telephone_number": "219-776-6669",
            "fax_number": "224-661-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 LUTHER DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463075054",
            "telephone_number": "219-546-2226",
            "fax_number": "224-661-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGENS",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004819A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.