Active NPI
Amy L Rinder, OTR/CHT
- Occupational Therapist
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 329331
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174173 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 329331 | LA | MD | Occupational Therapist |
| 998321 | OR | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Edge Physical Therapy and Sports Science Center | Current | 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.
-
- Orthopedic Physical Therapist
- Shreveport, LA
- NPI 1114154184
-
- Multi-Specialty Clinic/Center
- Shreveport, LA
- NPI 1144265976
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.