Individual provider Active NPI

Amanda Ciccone, OTD, OTR/L

  • Occupational Therapist
  • Parkersburg, WV
National Provider Identifier
1891677654
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2586 Issued in WV
Practice address
915 Emerson Ave
Parkersburg, WV 26104-2526
Phone
(681) 588-0335
NPI assigned
Jul 23, 2025
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2586 WV Primary

Addresses

Primary practice location

915 Emerson Ave
Parkersburg, WV 26104-2526

Mailing address

915 Emerson Ave
Parkersburg, WV 26104-2526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250825000055 WV Practitioner - Occupational Therapist in Private Practice 7719487776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Pittsburgh School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natalie L Cooke LLCGroup PAC ID 4082911268, 13 clinicians

Practice addresses (Care Compare)

915 Emerson Ave
Parkersburg, WV 26104-2526
Phone (304) 295-7290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Natalie L Cooke LLC Occupational Therapist CurrentSince Jul 24, 2025 Accepting new patients
Riverview Health Clinic, PLLC PastSince Jul 24, 2025 Accepting new patients

Locations

915 Emerson Ave
Parkersburg, WV 26104
Phone (304) 295-7290

1605 Grand Central Ave
Vienna, WV 26105
Phone (304) 295-5505

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1891677654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 EMERSON AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261042526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 EMERSON AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261042526",
            "telephone_number": "681-588-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCONE",
        "first_name": "AMANDA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "2586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.