Amanda L Infusino, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

014447 Issued in NY

Practice address

601 Sherrill Rd
Sherrill, NY 13461-1461

Phone

(315) 363-8288

Fax

(315) 363-8814

NPI assigned

Oct 28, 2008

Last updated

Oct 28, 2008By 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

Other names 1

• Mr. Amanda L Tanner Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CADJCD

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.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • East Syracuse, NY
  • NPI 1114067915
  NPD
• Communicare Services, LLC

  • Specialist
  • Sherrill, NY
  • NPI 1205950797
  NPD (past)

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1811140460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "VERONA BEACH",
            "state": "NY",
            "postal_code": "131620096",
            "telephone_number": "315-280-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SHERRILL RD",
            "city": "SHERRILL",
            "state": "NY",
            "postal_code": "134611461",
            "telephone_number": "315-363-8288",
            "fax_number": "315-363-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INFUSINO",
        "first_name": "AMANDA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "TANNER",
            "middle_name": "L",
            "prefix": "MR.",
            "credential": "MS OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Travis Goff, D.C.
• Kurt A Gormley, DDS
• Nancy G. Grabow, LCSW-R
• Grand Union of Sherrill LLC
• E Kathryn Harrell
• Lynn Jones
• Stacye Kapala, LMHC
• Kara Kaplan, LMHC, PLLC
• Keys Corp
• Jacqueline M Kimball, M.S., CCC-SLP

• Occupational Therapist in Sherrill, NY
• Providers in Sherrill, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.