Active NPI
Amanda Brown
- Occupational Therapist
- Coventry, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT01696
- Practice address
- 4 Coventry Shoppers Park
Coventry, RI 02816-5702 - Phone
- (401) 368-4263
- NPI assigned
- Aug 2, 2016
- Last updated
- Oct 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT01696 | RI | Primary |
| Community Health Worker | 172V00000X | OTA00602 | RI | |
| Community Health Worker | 172V00000X | OT01596 | RI |
Addresses
Primary practice location
4 Coventry Shoppers Park
Coventry, RI 02816-5702
Mailing address
4 Coventry Shoppers Park
Coventry, RI 02816-5702
Phone (401) 828-1781
Other practice location 1
1193 Reservoir Ave
Cranston, RI 02920-6008
Phone (401) 228-3939
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | RILYMPHEDEMATHERAPY@GMAIL.COM | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4 Coventry Shoppers Park
Coventry, RI 02816-5702
Phone (401) 368-4263
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT01596 | RI | MD | Community Health Worker |
| OTA00602 | RI | MD | Community Health Worker |
| OT01696 | RI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Lymphedema Therapy, LLC | Current | Accepting new patients | |
| Gaffney Physical Therapy, LLC | Occupational Therapist | Past | Accepting new patients |
Locations
4 Coventry Shoppers Park
Coventry, RI 02816
Phone (401) 368-4263
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.
-
dba Amanda Brown, OTR/L, CLT
- Rehabilitation Clinic/Center
- Coventry, RI
- NPI 1295458784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1902359367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 COVENTRY SHOPPERS PARK",
"city": "COVENTRY",
"state": "RI",
"postal_code": "028165702",
"telephone_number": "401-828-1781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 COVENTRY SHOPPERS PARK",
"city": "COVENTRY",
"state": "RI",
"postal_code": "028165702",
"telephone_number": "401-368-4263"
}
],
"practiceLocations": [
{
"address_1": "1193 Reservoir Ave",
"address_purpose": "LOCATION",
"city": "Cranston",
"state": "RI",
"postal_code": "029206008",
"country_code": "US",
"telephone_number": "401-228-3939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-02",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "RI",
"license": "OT01696",
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "RI",
"license": "OTA00602",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "RI",
"license": "OT01596",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "RILYMPHEDEMATHERAPY@GMAIL.COM",
"affiliation": "N",
"endpointDescription": "BUSINESS EMAIL",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4 Coventry Shoppers Park",
"city": "Coventry",
"state": "RI",
"country_code": "US",
"postal_code": "028165702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Coventry, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.