Active NPI
Connie Beth Ammann, OTR/L
- Occupational Therapist
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3947
- Practice address
- 4557 Technology Dr
Suite 1
Wilmington, NC 28405-2171 - Phone
- (910) 233-0730
- NPI assigned
- Sep 30, 2007
- Last updated
- Jan 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 3947 | NC | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self Care Therapy Incorporation | Occupational Therapist | Current | Accepting new patients |
| At Home Therapy Franchising, LLC | 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) 233-0730
530 Causeway Dr
Ste B6
Wrightsville Beach, NC 28480
Phone (910) 509-2810
Organizations & group practices 4
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.
-
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- NPI 1922639939
Occupational Therapist
-
- Occupational Therapist
- Boone, NC
- NPI 1992851356
-
- Occupational Therapist
- Boone, NC
- NPI 1518988617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231804800000",
"number": "1992992317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6612 DORRINGTON DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284123085",
"telephone_number": "910-793-8753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4557 TECHNOLOGY DR",
"address_2": "SUITE 1",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284052171",
"telephone_number": "910-233-0730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMMANN",
"first_name": "CONNIE",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-30",
"last_updated": "2009-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "3947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.