Individual provider Active NPI

Amy L Rinder, OTR/CHT

  • Occupational Therapist
  • Shreveport, LA
National Provider Identifier
1952595274
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
329331 Issued in LA
Practice address
1450 Claiborne Ave
Shreveport, LA 71103-4204
Phone
(318) 813-2970
Fax
(318) 813-2975
NPI assigned
Aug 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 998321 OR
Hand Occupational Therapist 225XH1200X 998321 OR
Hand Occupational Therapist 225XH1200X 329331 LA
Occupational Therapist 225X00000X 329331 LA Primary

Addresses

Primary practice location

1450 Claiborne Ave
Shreveport, LA 71103-4204

Mailing address

1450 Claiborne Ave
Shreveport, LA 71103-4204
Phone (318) 813-2970

Other practice location 1

12345 SW Horizon Blvd Ste 57
Beaverton, OR 97007-9475
Phone (503) 216-8825

Other practice location 2

2330 NW Flanders St
Ste G1
Portland, OR 97210-3442
Phone (503) 224-9270

Other identifiers 1

IdentifierTypeStateIssuer
1174173MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211117001933 LA Practitioner - Occupational Therapist in Private Practice 2567545874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lsuhsc-S School of Allied HealthGroup PAC ID 0840669123, 23 clinicians
The Edge Physical Therapy and Sports Science CenterGroup PAC ID 5496801334, 3 clinicians

Practice addresses (Care Compare)

1450 Claiborne Ave
Shreveport, LA 71103-4204
Phone (318) 813-2972

727 American Way
Suite 2
Shreveport, LA 71106-6117
Phone (318) 841-0696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
329331LAMDOccupational Therapist
998321ORMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Edge Physical Therapy and Sports Science Center CurrentSince Mar 21, 2026 Accepting new patients

Locations

727 American Way
Ste 2
Shreveport, LA 71106
Phone (318) 841-0696

Organizations & group practices 2

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": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1952595274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CLAIBORNE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034204",
            "telephone_number": "318-813-2970",
            "fax_number": "318-813-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CLAIBORNE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034204",
            "telephone_number": "318-813-2970",
            "fax_number": "318-813-2975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12345 SW Horizon Blvd Ste 57",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970079475",
            "country_code": "US",
            "telephone_number": "503-216-8825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2330 NW Flanders St",
            "address_2": "Ste G1",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972103442",
            "country_code": "US",
            "telephone_number": "503-224-9270",
            "fax_number": "503-224-9271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RINDER",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "OTR/CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "998321",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OR",
            "license": "998321",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "LA",
            "license": "329331",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "329331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174173",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.