Amy J Chandarlis, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

106655 Issued in TX

Practice address

768 Flamingo Dr
Saginaw, TX 76131-4892

Phone

(817) 891-7412

NPI assigned

Aug 3, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1881368801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 FLAMINGO DR",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761314892",
            "telephone_number": "817-891-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 FLAMINGO DR",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761314892",
            "telephone_number": "817-891-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDARLIS",
        "first_name": "AMY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "106655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cubhub",
            "affiliation": "Y",
            "endpointDescription": "software for documentation",
            "affiliationName": "Sanctum Health Partners, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "software for documentation",
            "address_1": "13727 Noel Rd",
            "address_2": "Tower 2, Suite 200",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752403105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gary Casebier
• Centrum Medical Group, PLLC
• Matthew W Cerniglia, DPM
• Gradie P Chafer
• Elias Chahine, D.M.D.
• Ethan Chandler, MD
• Giovanna Charles
• Jessica Gutierrez Chavez
• Miranda Elizabeth Faye Chipps
• Chiropractic & Rehab Centers, Inc (Chiropractic & Rehab of Saginaw)

• Occupational Therapist in Saginaw, TX
• Providers in Saginaw, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.