Amy Elizabeth Evans, OTR/L
Individual provider Active NPI Occupational Therapist · Glade Valley, NC
NPI 1912997487 · NPPES record last updated Jun 4, 2020
Key facts
- NPI
- 1912997487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 3827 (NC)
- Practice address
- 1168 Cherry Lane Rd
Glade Valley, NC 28627-9281 - Phone
- (336) 467-4357
- NPI assigned
- Oct 26, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3827 | NC | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3827 | NC | Yes |
Addresses
Primary practice location
1168 Cherry Lane Rd
Glade Valley, NC 28627-9281
Mailing address
1168 Cherry Lane Rd
Glade Valley, NC 28627-9281
Phone (336) 467-4357
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7301562 | Medicaid | NC | |
| A9496 | Other | NC | MEDCOST PREFERRED |
| 1175F | Other | NC | BCBS/NC |
| 173442 | Other | NC | ANTHEM OF VIRGINIA |
| 2211795 | Other | NC | FIRST HEALTH |
| 162834 | Other | NC | HUMANA |
Other providers in Glade Valley, NC
All providers in Glade Valley, NC · Occupational Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.