AMANDA R PETRY (NPI# 1104441633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104441633 |
| Entity Type | Individual |
| Full Name | AMANDA R PETRY |
| Credential | OTR/L |
| Practice Address |
14 Oak St Apt 2 Brunswick ME 04011-1980 |
| Practice Telephone | 9144246713 |
| Mailing Telephone | 9144246713 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | BOARD OF OCCUPATIONAL THERAPY PRACTICE | OT3812 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558842088 | Amanda L Petry | Counselor | 1070 Commerce Dr Ste 101, Perrysburg, OH 43551-5231 | 2018-08-23 |
| 1427558337 | Amanda Jay Petry | Social Worker | 2780 S Jones Blvd Ste 100a, Las Vegas, NV 89146-5625 | 2018-02-16 |
| Street Address |
14 OAK ST APT 2 |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-1980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648555 | Salena Sykes | Occupational Therapist | 47 Garrison St Apt A, Brunswick, ME 04011-3106 | 2020-04-27 |
| 1174995237 | Samantha Josephine Bova | Occupational Therapist | 3640 Berkeley Ln, Brunswick, OH 44212-1590 | 2015-10-28 |
| 1356768022 | Tanya Mougrabi | Occupational Therapist | 4977 Autumnwood Ln, Brunswick, OH 44212-4723 | 2014-03-19 |
| 1639595242 | Kathryn Toledo | Occupational Therapist | 3295 Van Buren Dr, Brunswick, OH 44212-3770 | 2014-03-07 |
| 1487931473 | Tiffany Lester | Occupational Therapist | 3225 Pinecrest, Brunswick, OH 44212 | 2011-11-04 |
| 1134456445 | Lisa Lynn Clark | Occupational Therapist | 85 Lunt Rd, Brunswick, ME 04011-7289 | 2009-11-06 |
| 1902014061 | Linda Power | Occupational Therapist | 35a Gurnet Rd, Cds-search, Brunswick, ME 04011-2744 | 2007-05-20 |
| 1366659674 | Tracey Lee-anne Dearborn | Occupational Therapist | 20 Barrows St, Brunswick, ME 04011-3214 | 2007-05-17 |
| 1467670968 | Stacy Ann Metheney | Occupational Therapist | 1310 Gary Blvd, Brunswick, OH 44212-2914 | 2007-04-23 |
| 1760606727 | Teresa Ann Winder | Occupational Therapist | 1 Donovan Ct, Brunswick, MD 21758-9028 | 2007-04-12 |
| Find all providers in BRUNSWICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.