Individual provider Active NPI

Amanda Stilianos, OTR/L

  • Occupational Therapist
  • Orwigsburg, PA
National Provider Identifier
1841583556
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OCO11701 Issued in PA
Practice address
1000 Orwigsburg Manor Dr
Orwigsburg, PA 17961-1303
Phone
(570) 621-7432
NPI assigned
May 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OCO11701 PA Primary

Addresses

Primary practice location

1000 Orwigsburg Manor Dr
Orwigsburg, PA 17961-1303

Mailing address

1000 Orwigsburg Manor Dr
Orwigsburg, PA 17961-1303

Other names 1

  • Amanda Suchomelly Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170718000380 PA Practitioner - Occupational Therapist in Private Practice 1254601636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoebe Corporate and Community Based Services, Inc.Group PAC ID 2961668157, 14 clinicians

Practice addresses (Care Compare)

1925 W Turner St
Allentown, PA 18104-5513
Phone (610) 794-5162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OCO11701PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Corporate and Community Based Services Inc CurrentSince Feb 22, 2024 Accepting new patients
Rehab1 LLC Occupational Therapist CurrentSince Jun 19, 2017 Accepting new patients
Phoebe Corporate & Community Based Services CurrentSince Feb 22, 2024 Accepting new patients

Locations

1925 W Turner St
Allentown, PA 18104
Phone (610) 794-5075

263 Glen Riddle Rd
Media, PA 19063
Phone (610) 358-9933

Organizations & group practices 3

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": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507075200000",
    "number": "1841583556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ORWIGSBURG MANOR DR",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179611303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ORWIGSBURG MANOR DR",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179611303",
            "telephone_number": "570-621-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILIANOS",
        "first_name": "AMANDA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2017-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OCO11701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SUCHOMELLY",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orwigsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.