Connie Beth Ammann, OTR/L
Individual provider Active NPI Occupational Therapist · Wilmington, NC
NPI 1992992317 · NPPES record last updated Jan 13, 2009
Key facts
- NPI
- 1992992317
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 3947 (NC)
- Practice address
- 4557 Technology Dr
Suite 1
Wilmington, NC 28405-2171 - Phone
- (910) 233-0730
- NPI assigned
- Sep 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Self Care Therapy Incorporation
Practice addresses (Care Compare)
6626 Gordon Rd
Suite H
Wilmington, NC 28411-8424
Phone (910) 233-0730
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.58 of 100
- Quality
- 56.67
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071228000373 | NC | Practitioner - Occupational Therapist in Private Practice | 2769562941 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3947 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Home Therapy Franchising, LLC | Occupational Therapist | Current |
Accepting new patients |
| Self Care Therapy Incorporation | Occupational Therapist | Current |
Accepting new patients |
| Cornerstone Services, Inc. | Occupational Therapist | Past | Accepting new patients |
| Carolinas Cognitive Care, Inc. | Occupational Therapist | Past | Accepting new patients |
Locations
4557 Technology Dr
Ste 1
Wilmington, NC 28405
Phone (910) 233-0730
6626 Gordon Rd
Ste H
Wilmington, NC 28411
Phone (910) 233-0726
530 Causeway Dr
Ste B6
Wrightsville Beach, NC 28480
Phone (910) 509-2810
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3947 | NC | Yes |
Addresses
Primary practice location
4557 Technology Dr
Suite 1
Wilmington, NC 28405-2171
Mailing address
6612 Dorrington Dr
Wilmington, NC 28412-3085
Phone (910) 793-8753
Other providers in Wilmington, NC
- American Diabetic Supply Systems Inc
- American Homepatient, Inc.
- Americare of North Carolina
- Andrea Schweizer Amin
- Eden Amis
- Emelia Pappoe Amoako
- Barry D Amos
- Amy Lewis DDS PLLC
- Amy West LCSW PLLC
- An Apple a Day LLC
All providers in Wilmington, NC · Occupational Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.