Individual provider Active NPI

Amanda Ducrocq, ORT/L

  • Occupational Therapist
  • Depew, NY
National Provider Identifier
1992352751
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
023984 Issued in NY
Practice address
2049 George Urban Blvd
Depew, NY 14043-1823
Phone
(716) 868-9910
NPI assigned
Aug 26, 2019
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NY
Occupational Therapist 225X00000X 023984 NY Primary

Addresses

Primary practice location

2049 George Urban Blvd
Depew, NY 14043-1823

Mailing address

8193 Oak Leaf LN
Williamsville, NY 14221-2858
Phone (716) 868-9910

Other practice location 1

3767 Delaware Ave
Kenmore, NY 14217-1040
Phone (716) 874-6175

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

LicenseStateTypeSpecialty
023984NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Physical & Occupational Therapists, PLLC Occupational Therapist PastSince Sep 1, 2019 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": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1992352751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8193 OAK LEAF LN",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212858",
            "telephone_number": "716-868-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2049 GEORGE URBAN BLVD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431823",
            "telephone_number": "716-868-9910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3767 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Kenmore",
            "state": "NY",
            "postal_code": "142171040",
            "country_code": "US",
            "telephone_number": "716-874-6175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUCROCQ",
        "first_name": "AMANDA",
        "credential": "ORT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "023984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.