Active NPI
Amy Suzanne Barber
- Occupational Therapy Assistant
- Mount Auburn, IL
National Provider Identifier
1902550494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 057002871
- Practice address
- 3101 N 1600 East Rd
Mount Auburn, IL 62547-3523 - Phone
- (217) 201-3440
- NPI assigned
- Feb 4, 2022
- Last updated
- Feb 4, 2022
- 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 Therapy Assistant | 224Z00000X | 057002871 | IL | Primary |
Addresses
Primary practice location
3101 N 1600 East Rd
Mount Auburn, IL 62547-3523
Mailing address
3101 N 1600 East Rd
Mount Auburn, IL 62547-3523
Phone (217) 201-3440
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
| License | State | Type | Specialty |
|---|---|---|---|
| 057002871 | IL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1902550494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 N 1600 EAST RD",
"city": "MOUNT AUBURN",
"state": "IL",
"postal_code": "625473523",
"telephone_number": "217-201-3440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 N 1600 EAST RD",
"city": "MOUNT AUBURN",
"state": "IL",
"postal_code": "625473523",
"telephone_number": "217-201-3440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARBER",
"first_name": "AMY",
"middle_name": "SUZANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-04",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IL",
"license": "057002871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Auburn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.