Amanda Brown
Individual provider Active NPI Occupational Therapist · Coventry, RI
NPI 1902359367 · NPPES record last updated Oct 20, 2022
Key facts
- NPI
- 1902359367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT01696 (RI)
- Practice address
- 4 Coventry Shoppers Park
Coventry, RI 02816-5702 - Phone
- (401) 368-4263
- NPI assigned
- Aug 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rhode Island Lymphedema Therapy, LLC
Practice addresses (Care Compare)
4 Coventry Shoppers Park
Coventry, RI 02816-5702
Phone (401) 368-4263
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221216001203 | RI | Practitioner - Occupational Therapist in Private Practice | 2264801828 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | OTA00602 | RI | |
| Community Health Worker | 172V00000X | OT01596 | RI | |
| Occupational Therapist | 225X00000X | OT01696 | RI | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | RILYMPHEDEMATHERAPY@GMAIL.COM | Health Information Exchange (HIE) |
Other providers in Coventry, RI
- Kathie A Bouchard
- Alyssa Boudreau
- Kayla Lynn Bourbon
- Jimmette N Brooks
- Bridget Brothers
- Shawn Brown
- Meghan Kelly Broz
- Laura Elizabeth Brunero
- Lauren Marie Carlson Burhans
- Katie Burns
All providers in Coventry, RI · Occupational Therapist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.