Amy S Andrews, COTA

Individual provider Active NPI Occupational Therapy Assistant · Fort Wayne, IN

NPI 1811240302 · NPPES record last updated Oct 21, 2012

Key facts

NPI
1811240302
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
32001913A (IN)
Practice address
2837 E Dupont Rd
Fort Wayne, IN 46825-1668
Phone
(260) 497-0328
NPI assigned
Oct 21, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
32001913AINMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hand in Hand Comprehensive Therapy Specialists Inc Past Accepting new patients
Hand in Hand Therapy Specialists Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 32001913A IN Yes

Addresses

Primary practice location

2837 E Dupont Rd
Fort Wayne, IN 46825-1668

Mailing address

2837 E Dupont Rd
Fort Wayne, IN 46825-1668

Other providers in Fort Wayne, IN

All providers in Fort Wayne, IN · Occupational Therapy Assistant in Indiana

Sources for this page

Verify at the official NPI Registry.