Amanda Cheyenne Enrico, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-835 Issued in ID

Practice address

30 E Little Ave
Driggs, ID 83422-5138

Phone

(208) 709-2911

NPI assigned

Aug 13, 2007

Last updated

Jun 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Occupational Therapy Unlimited, LLCGroup PAC ID 8820243751, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Occupational Therapy Unlimited, LLC

  • Occupational Therapist
  • Driggs, ID
  • NPI 1881931319
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1831381094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 COBBLECREST RD",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "83422",
            "telephone_number": "208-709-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E LITTLE AVE",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225138",
            "telephone_number": "208-709-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRICO",
        "first_name": "AMANDA",
        "middle_name": "CHEYENNE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OTR719",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Sellergren Dunn, MA, LPC
• Michelle S Durtschi
• Eagle Orthopedic & Sports Physical Therapy, PLLC
• Larry Lamar Ellis, RPH
• Enduradent PLLC (Ski Hill Dental)
• Emily Erickson
• Caroline Estay
• Heather Dawn Evans, O.T.
• Martha Ann Farnsworth, OTD, OTR/L
• Kelley J Figg, LCSW

• Occupational Therapist in Driggs, ID
• Providers in Driggs, ID by specialty
• Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.