Individual provider Active NPI

Amanda Michelle Snelgrove, COTA/L

  • Occupational Therapy Assistant
  • Woodbridge, CT
National Provider Identifier
1841534146
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
000723 Issued in CT
Practice address
225 Amity Rd
Woodbridge, CT 06525-2206
Phone
(230) 387-0076
Fax
(203) 397-3653
NPI assigned
Nov 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 000723 CT Primary

Addresses

Primary practice location

225 Amity Rd
Woodbridge, CT 06525-2206

Mailing address

29 Highland Ave
Meriden, CT 06451-5324
Phone (203) 974-1033

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

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1841534146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 HIGHLAND AVE",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064515324",
            "telephone_number": "203-974-1033",
            "fax_number": "203-397-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 AMITY RD",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252206",
            "telephone_number": "230-387-0076",
            "fax_number": "203-397-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNELGROVE",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CT",
            "license": "000723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.