Active NPI
Amanda L. Degenhart
- Occupational Therapist
- Bowling Green, KY
National Provider Identifier
1982867826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- R3303
- Practice address
- 958 Collett Ave
Bowling Green, KY 42101-2304 - Phone
- (270) 745-1475
- Fax
- (270) 745-1473
- NPI assigned
- Jul 9, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | R3303 | KY | Primary |
Addresses
Primary practice location
958 Collett Ave
Bowling Green, KY 42101-2304
Mailing address
PO Box 90010
Bowling Green, KY 42102-9010
Phone (270) 745-1446
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 |
|---|---|---|---|
| R3303 | KY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowling Green-Warren County Community Hospital Corporation | 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 and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Bowling Green, KY
- NPI 1891652343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215561600000",
"number": "1982867826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90010",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421029010",
"telephone_number": "270-745-1446",
"fax_number": "270-745-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "958 COLLETT AVE",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421012304",
"telephone_number": "270-745-1475",
"fax_number": "270-745-1473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGENHART",
"first_name": "AMANDA",
"middle_name": "L.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-09",
"last_updated": "2008-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "R3303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.