Amy Walton, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5202004464 Issued in MI

Practice address

288 Peace Blvd
Saint Joseph, MI 49085-9562

Phone

(269) 556-9050

NPI assigned

Jul 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1912550864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116",
            "city": "BARODA",
            "state": "MI",
            "postal_code": "491010116",
            "telephone_number": "269-876-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 PEACE BLVD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859562",
            "telephone_number": "269-556-9050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1385 E Empire Ave",
            "address_purpose": "LOCATION",
            "city": "Benton Harbor",
            "state": "MI",
            "postal_code": "490222037",
            "country_code": "US",
            "telephone_number": "269-925-0033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTON",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202004464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Walenga, MD
• Walgreen Co
• Angela Walker
• John W Walker, MD
• Rebecca Walter, NP
• Andrew Manongdo Wang, M.D.
• Michael S Wang, MD
• Edward Horace Ward, DDS
• Michael Timothy Ward, D.D.S.
• Robert Campbell Ward III, D.O.

• Occupational Therapy Assistant in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.