Amanda Hitzemann, OTD

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

430575 Issued in AR

Practice address

4313 S Pleasant Crossing Blvd
Rogers, AR 72758-1347

Phone

(479) 341-4003

NPI assigned

Apr 28, 2020

Last updated

Apr 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, WA2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

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.

• Cortlyn Therapy, PC

  dba Symbria Outpatient Services

  • Physical Therapist
  • Cincinnati, OH
  • NPI 1235725730
  Medicare reassignment NPD
• Public Hospital District No 4 King County Washington

  dba Snoqualmie Valley Hospital

  • Critical Access Hospital
  • Snoqualmie, WA
  • NPI 1902846546
  Medicare reassignment NPD (past)
• Public Hospital District No 4 King County Washington

  dba Snoqualmie Valley Health Clinic

  • Rural Health Clinic/Center
  • Snoqualmie, WA
  • NPI 1558869289
  NPD
• Public Hospital District No 4, King County Wa

  dba Public Hospital District No 4 Clinic

  • Family Medicine Physician
  • Snoqualmie, WA
  • NPI 1144432634
  NPD

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1881215192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 CORY ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727621807",
            "telephone_number": "614-315-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4313 S PLEASANT CROSSING BLVD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581347",
            "telephone_number": "479-341-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITZEMANN",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "AR",
            "license": "430575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph G Hines, DC
• Sarah Emily Hines, OD
• Steven R Hines, D.C.
• Grace Ann Hinsley
• Taylor Elizabeth Hirsh, M.S., CCC-SLP
• Chlise Hobbs
• Cody D Hobby, CRNA
• Keleigh Hodges
• Charles William Hof, M.D.
• Hannah M Hoffman, CRNA

• Physical Rehabilitation Occupational Therapist in Rogers, AR
• Providers in Rogers, AR by specialty
• Physical Rehabilitation Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.