Active NPI
Amanda Govine, OTR/L
- Occupational Therapist
- Enfield, CT
National Provider Identifier
1952925083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5341
- Practice address
- 50 Brett LN
Enfield, CT 06082-4102 - Phone
- (860) 944-0626
- NPI assigned
- Jun 4, 2020
- Last updated
- Jun 4, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 13430 | MA | |
| Occupational Therapist | 225X00000X | 5341 | CT | Primary |
Addresses
Primary practice location
50 Brett LN
Enfield, CT 06082-4102
Mailing address
50 Brett LN
Enfield, CT 06082-4102
Phone (860) 944-0626
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13430 | MA | MD | Occupational Therapist |
| 5341 | CT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591228800000",
"number": "1952925083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 BRETT LN",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060824102",
"telephone_number": "860-944-0626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BRETT LN",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060824102",
"telephone_number": "860-944-0626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOVINE",
"first_name": "AMANDA",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-04",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "13430",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "5341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.