Amy Buchholz, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1042968 Issued in OR

Practice address

1425 N Killingsworth St
Portland, OR 97217-4541

Phone

(503) 575-9402

Fax

(844) 234-8735

NPI assigned

Aug 27, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bright Spot Pediatric Therapy LLC

  • Pediatric Occupational Therapist
  • Portland, OR
  • NPI 1033649694
  NPD

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1922475730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 N KILLINGSWORTH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972174541",
            "telephone_number": "503-575-9402",
            "fax_number": "844-234-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N KILLINGSWORTH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972174541",
            "telephone_number": "503-575-9402",
            "fax_number": "844-234-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHHOLZ",
        "first_name": "AMY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "1042968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500691261",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Bucher
• Thomas Arno Buchhammer, D.C.
• Bradley Michael Buchheit, MD
• Kristine Sheedy Buchholtz, LCSW
• Aaron William Buchholz, MSW
• Katherine Anne Buchholz, LMFT
• Mark T Buchholz, MD
• Kyle Robert Buchwalder, MD
• Maria Blanca Bucio, NP
• Rebecca Rose Buck Douville, MS

• Occupational Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Occupational Therapist in Oregon

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

Verify at the official NPI Registry.