Individual provider Active NPI

Amanda Brenner

  • Occupational Therapist
  • Memphis, TN
National Provider Identifier
1982427688
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2313 Issued in ND
Practice address
6320 N Quail Hollow Rd # 901
Memphis, TN 38120-1420
Phone
(901) 761-0021
NPI assigned
Nov 2, 2024
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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 2313 ND Primary

Addresses

Primary practice location

6320 N Quail Hollow Rd # 901
Memphis, TN 38120-1420

Mailing address

1192 Brady Hollow LN
Cordova, TN 38016-8887
Phone (985) 789-3384

Other practice location 1

2080 36th Ave SW Ste 110
Minot, ND 58701-7597
Phone (701) 222-3175

Other identifiers 1

IdentifierTypeStateIssuer
1500458MedicaidND

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab at Your Place, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1730505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1982427688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 BRADY HOLLOW LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380168887",
            "telephone_number": "985-789-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 N QUAIL HOLLOW RD # 901",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381201420",
            "telephone_number": "901-761-0021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 36th Ave SW Ste 110",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587017597",
            "country_code": "US",
            "telephone_number": "701-222-3175",
            "fax_number": "701-222-3186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-02",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "2313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1500458",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.