Samantha Lynne Ameredes, OTR/L

Individual provider Active NPI Occupational Therapist · Mooresville, NC

NPI 1861625873 · NPPES record last updated Aug 25, 2009

Key facts

NPI
1861625873
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
7276 (NC)
Practice address
550 Glenwood Dr
Mooresville, NC 28115-2876
Phone
(704) 664-7494
NPI assigned
Aug 25, 2009
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dentistry Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 7276 NC Yes

Addresses

Primary practice location

550 Glenwood Dr
Mooresville, NC 28115-2876

Mailing address

15718 Seafield LN
Huntersville, NC 28078-2284
Phone (304) 374-0814

Other providers in Mooresville, NC

All providers in Mooresville, NC · Occupational Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.