Amanda Marie Kotolski, PH.D, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT12215 Issued in FL

Practice address

6061 Bahia del Mar Blvd
207
St Petersburg, FL 33715-3321

Phone

(727) 637-6137

Fax

(727) 388-9640

NPI assigned

Jan 11, 2007

Last updated

Nov 1, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Ak Therapy Inc

  • Physical Therapy Clinic/Center
  • Tampa, FL
  • NPI 1184852493
  NPD (past) Authorized official
• Amazing Kids Therapy, Inc

  • Clinic/Center
  • St Petersburg, FL
  • NPI 1609014471
  NPD (past) Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446336000000",
    "number": "1932259017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6061 BAHIA DEL MAR BLVD",
            "address_2": "207",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337153321",
            "telephone_number": "727-637-6137",
            "fax_number": "727-388-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6061 BAHIA DEL MAR BLVD",
            "address_2": "207",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337153321",
            "telephone_number": "727-637-6137",
            "fax_number": "727-388-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTOLSKI",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "PH.D, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2015-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT12215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Robert Kosydar, DDS
• Stacey Koszut, M.S., C.G.C
• David Kazimierz Koszyk, PT
• Erick Koszyk, EMT
• Nicholas A Kotch, D.O.
• Spiro Kotsios, M.A., BCBA
• Jason Kotsko, PHARMD
• John Joseph Kotula III, M.D.
• Bipan Kotwal, M.D.
• Insaf Kouba

• Occupational Therapist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2015; 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.