Active NPI
Amanda Butler, OTD, OTR/L
- Occupational Therapist
- Peoria, AZ
National Provider Identifier
1821609751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTH-008910
- Practice address
- 20470 N Lake Pleasant Rd Ste 107
Peoria, AZ 85382-9708 - Phone
- (623) 248-3324
- NPI assigned
- Aug 13, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OTH-008910 | AZ | |
| Occupational Therapist | 225X00000X | OTH-008910 | AZ | Primary |
Addresses
Primary practice location
20470 N Lake Pleasant Rd Ste 107
Peoria, AZ 85382-9708
Mailing address
15116 N Cotton LN
Surprise, AZ 85388-9618
Phone (623) 248-3324
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 |
|---|---|---|---|
| OTH-008910 | AZ | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T.E.a.M. 4 Kids, LLC | Pediatrics | Current | Accepting new patients |
Locations
20470 N Lake Pleasant Rd
Ste 107
Peoria, AZ 85382
Phone (623) 248-3324
15116 N Cotton Ln
Surprise, AZ 85388
Phone (623) 322-8250
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1821609751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15116 N COTTON LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853889618",
"telephone_number": "623-248-3324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20470 N LAKE PLEASANT RD STE 107",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853829708",
"telephone_number": "623-248-3324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "AMANDA",
"credential": "OTD, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-13",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AZ",
"license": "OTH-008910",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "OTH-008910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.