Individual provider Active NPI

Amy Lynn Andersen Yamaoda, OTR/L

  • Occupational Therapist
  • Rochester, NY
National Provider Identifier
1902039613
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
018005 Issued in NY
Practice address
2075 Scottsville Rd
Rochester, NY 14623-2021
Phone
(585) 429-2710
NPI assigned
Aug 27, 2009
Last updated
Dec 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 018005 NY Primary
Occupational Therapist 225X00000X 10444 CA

Addresses

Primary practice location

2075 Scottsville Rd
Rochester, NY 14623-2021

Mailing address

22 Lynnhaven CT
Rochester, NY 14618-4216
Phone (718) 986-8028

Other practice location 1

695 Bay Rd
Webster, NY 14580-4091
Phone (585) 787-8000

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
018005NYMDClinical Social Worker
10444CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Special Services for Groups Past Accepting new patients

Organizations & group practices 1

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": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1902039613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LYNNHAVEN CT",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184216",
            "telephone_number": "718-986-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 SCOTTSVILLE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232021",
            "telephone_number": "585-429-2710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "695 Bay Rd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "NY",
            "postal_code": "145804091",
            "country_code": "US",
            "telephone_number": "585-787-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSEN YAMAODA",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "018005",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "10444",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.