Carlie Rae Amidon, OTR/L
Individual provider Active NPI Occupational Therapist · Hornell, NY
NPI 1922400944 · NPPES record last updated Sep 6, 2019
Key facts
- NPI
- 1922400944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 019099 (NY)
- Practice address
- 5552 Cook Hill Rd
Hornell, NY 14843-9736 - Phone
- (585) 610-3885
- NPI assigned
- Sep 22, 2014
- 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 |
|---|---|---|---|
| 019099 | NY | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 019099 | NY | Yes |
Addresses
Primary practice location
5552 Cook Hill Rd
Hornell, NY 14843-9736
Mailing address
5552 Cook Hill Rd
Hornell, NY 14843-9736
Phone (585) 610-3885
Other practice location 1
5552 Cook Hill Rd
Hornell, NY 14843-9736
Phone (585) 610-3885
Other providers in Hornell, NY
- Abadan Medical PLLC
- Erica L Alger
- Allegany Ophthalmology, PLLC
- Shelli Altopp-Miller
- American Homecare Supply New York
- Colleen Dagon Amidon
- Richard F Andolina Jr.
- Richard F. Andolina
- Andolinadental PC
- Adrian Ashdown
All providers in Hornell, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2019. 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.