Individual provider Active NPI

Amanda L Sennish

  • Occupational Therapist
  • Blue Ash, OH
National Provider Identifier
1922502210
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT010063 Issued in OH
Practice address
4440 Carver Woods Dr
Blue Ash, OH 45242-5529
Phone
(513) 791-5688
Fax
(513) 791-0023
NPI assigned
Mar 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT010063 OH Primary

Addresses

Primary practice location

4440 Carver Woods Dr
Blue Ash, OH 45242-5529

Mailing address

4440 Carver Woods Dr
Blue Ash, OH 45242-5529
Phone (513) 791-5688

Other identifiers 1

IdentifierTypeStateIssuer
0271195MedicaidOH

Other names 1

  • Amanda L Paragon Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address coti@cintiotinstitute.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT010063OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Pediatric Therapy LLC Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1922502210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 CARVER WOODS DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425529",
            "telephone_number": "513-791-5688",
            "fax_number": "513-791-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 CARVER WOODS DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425529",
            "telephone_number": "513-791-5688",
            "fax_number": "513-791-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENNISH",
        "first_name": "AMANDA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT010063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0271195",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "coti@cintiotinstitute.com",
            "affiliation": "N",
            "address_1": "4440 Carver Woods Dr",
            "city": "Blue Ash",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452425529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "PARAGON",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.