Active NPI
Amanda Doris Fortier, M.S. O.T. R/L
- Occupational Therapist
- Waianae, HI
National Provider Identifier
1811218977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 89-195 Farrington Hwy
Waianae, HI 96792-4102 - Phone
- (808) 696-7657
- NPI assigned
- Jun 11, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225X00000X | Primary |
Addresses
Primary practice location
89-195 Farrington Hwy
Waianae, HI 96792-4102
Mailing address
91-1046 Okupe St
Ewa Beach, HI 96706-3552
Phone (207) 522-2859
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376438400000",
"number": "1811218977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-1046 OKUPE ST",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967063552",
"telephone_number": "207-522-2859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89-195 FARRINGTON HWY",
"city": "WAIANAE",
"state": "HI",
"postal_code": "967924102",
"telephone_number": "808-696-7657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTIER",
"first_name": "AMANDA",
"middle_name": "DORIS",
"credential": "M.S. O.T. R/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-11",
"last_updated": "2013-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waianae, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.