Active NPI
Amanda Jean Barr
- Occupational Therapist
- Folsom, CA
National Provider Identifier
1891528030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12296
- Practice address
- 645 Willard Dr
Folsom, CA 95630-4048 - Phone
- (916) 888-8730
- NPI assigned
- Aug 22, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 12296 | CA | Primary |
Addresses
Primary practice location
645 Willard Dr
Folsom, CA 95630-4048
Mailing address
6638 Rose Acres Rd
Orangevale, CA 95662-3548
Phone (916) 207-0870
Other practice location 1
8484 Madison Ave
Fair Oaks, CA 95628-3878
Phone (916) 999-9242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1891528030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6638 ROSE ACRES RD",
"city": "ORANGEVALE",
"state": "CA",
"postal_code": "956623548",
"telephone_number": "916-207-0870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 WILLARD DR",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956304048",
"telephone_number": "916-888-8730"
}
],
"practiceLocations": [
{
"address_1": "8484 Madison Ave",
"address_purpose": "LOCATION",
"city": "Fair Oaks",
"state": "CA",
"postal_code": "956283878",
"country_code": "US",
"telephone_number": "916-999-9242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARR",
"first_name": "AMANDA",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-22",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "12296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.