Amy Agasino Engemann, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2003001207 Issued in MO

Practice address

138 Taylor St
Sullivan, MO 63080-1936

Phone

(573) 468-5446

Fax

(573) 468-6387

NPI assigned

Feb 9, 2006

Last updated

Oct 8, 2012By 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

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1881667962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 RICHARD DR",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630906243",
            "telephone_number": "314-920-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 TAYLOR ST",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630801936",
            "telephone_number": "573-468-5446",
            "fax_number": "573-468-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEMANN",
        "first_name": "AMY",
        "middle_name": "AGASINO",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "2003001207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Eakins, CNM
• Jessica E. Ebsworth, APRN-CNM
• Kelly Eckelkamp
• Felipe Eljaiek, M.D.
• Heather Nicole Elliott, LPC
• Josie Leann Eoff, FNP-C
• Felicia Farmer, LPC
• Kamealya Leah Farrell, FNP-C, RN
• Steven E Fern, DO
• Margaret Foster-Angerillo

• Pediatric Occupational Therapist in Sullivan, MO
• Providers in Sullivan, MO by specialty
• Pediatric Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.