Individual provider Active NPI

Connie Beth Ammann, OTR/L

  • Occupational Therapist
  • Wilmington, NC
National Provider Identifier
1992992317
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3947 Issued in NC
Practice address
4557 Technology Dr
Suite 1
Wilmington, NC 28405-2171
Phone
(910) 233-0730
NPI assigned
Sep 30, 2007
Last updated
Jan 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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 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

Enrollment IDStateProvider typePAC IDDetails
I20071228000373 NC Practitioner - Occupational Therapist in Private Practice 2769562941 Reassigns benefits to 1 organization

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
Self Care Therapy IncorporationGroup PAC ID 3375546864, 2 clinicians

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 100Reported as individual
Quality
56.67
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Self Care Therapy Incorporation Occupational Therapist CurrentSince Oct 1, 2007 Accepting new patients
At Home Therapy Franchising, LLC Occupational Therapist CurrentSince Feb 2, 2020 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.

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.

Verify at the official NPI Registry.