Individual provider Active NPI

Amelia Hope Balestra, COTA/L

  • Occupational Therapy Assistant
  • South Shore, KY
National Provider Identifier
1851290043
Registry record updated Nov 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
311704 Issued in KY
Practice address
413 Tygarts BND
South Shore, KY 41175-9063
Phone
(606) 694-7013
NPI assigned
Nov 3, 2026
Last updated
Nov 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2026

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 311704 KY Primary

Addresses

Primary practice location

413 Tygarts BND
South Shore, KY 41175-9063

Mailing address

413 Tygarts BND
South Shore, KY 41175-9063
Phone (606) 694-7013

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1793664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793664000000",
    "number": "1851290043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 TYGARTS BND",
            "city": "SOUTH SHORE",
            "state": "KY",
            "postal_code": "411759063",
            "telephone_number": "606-694-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 TYGARTS BND",
            "city": "SOUTH SHORE",
            "state": "KY",
            "postal_code": "411759063",
            "telephone_number": "606-694-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALESTRA",
        "first_name": "AMELIA",
        "middle_name": "HOPE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-11-03",
        "last_updated": "2026-11-03",
        "certification_date": "2026-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KY",
            "license": "311704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Shore, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.