Individual provider Active NPI

Amanda M Pajerski, OTR

  • Occupational Therapist
  • Madison, WI
National Provider Identifier
1912101429
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4988-026 Issued in WI
Practice address
7818 Big Sky Dr Ste 217
Madison, WI 53719-2840
Phone
(608) 709-7072
Fax
(608) 709-7071
NPI assigned
Jun 11, 2007
Last updated
May 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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 056.009345 IL
Occupational Therapist 225X00000X 4988-026 WI Primary

Addresses

Primary practice location

7818 Big Sky Dr Ste 217
Madison, WI 53719-2840

Mailing address

7818 Big Sky Dr Ste 217
Madison, WI 53719-2840
Phone (608) 709-7072

Other names 1

  • Amanda M Miller Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111109000476 WI Practitioner - Occupational Therapist in Private Practice 2769655604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Continuum Therapy, Inc.Group PAC ID 0941429344, 4 clinicians

Practice addresses (Care Compare)

901 Post Rd
Madison, WI 53713-3260
Phone (608) 709-7070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4988-026WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Continuum Therapy, Inc. Occupational Therapist CurrentSince Aug 6, 2014 Accepting new patients
Wisconsin Therapists LTD. Occupational Therapist Past Accepting new patients

Locations

7818 Big Sky Dr
Ste 217
Madison, WI 53719
Phone (608) 709-7070

901 Post Rd
Madison, WI 53713
Phone (608) 223-9110

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1912101429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7818 BIG SKY DR STE 217",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192840",
            "telephone_number": "608-709-7072",
            "fax_number": "608-709-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7818 BIG SKY DR STE 217",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192840",
            "telephone_number": "608-709-7072",
            "fax_number": "608-709-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAJERSKI",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.009345",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "4988-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MILLER",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.