MRS. AMANDA A PETKER (NPI# 1902065139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902065139 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA A PETKER |
| Credential | OT |
| Practice Address |
226 S Anderson St Ste B Elwood IN 46036-2015 |
| Practice Telephone | 7655528460 |
| Practice Fax Number | 7655528470 |
| Mailing Telephone | 7655528460 |
| Mailing Fax Number | 7655528470 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2011-01-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 31004646A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
31004646A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RR MEDICARE | P00702440 | 01 |
| Street Address |
226 S ANDERSON ST STE B |
| City | ELWOOD |
| State | IN |
| Zip Code | 46036-2015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376737957 | Stacey A Wittkamper | Speech-Language Pathologist | 226 S Anderson St Ste B, Elwood, IN 46036-2015 | 2007-08-28 |
| 1447890280 | Erin Watson | Physical Therapist | 226 S Anderson St Ste B, Elwood, IN 46036-2015 | 2020-01-09 |
| 1558801134 | Margaret Zimmerman | Speech-Language Pathologist | 226 S Anderson St Ste B, Elwood, IN 46036-2015 | 2017-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235263682 | City of Elwood | Ambulance | 1505 South B St, Elwood, IN 46036 | 2007-03-16 |
| 1790849313 | Dennis L Church Dds Inc | Clinic/Center | 213 North 16th St, Elwood, IN 46036 | 2006-12-20 |
| 1679536320 | Elwood Family Medicine PC | Family Medicine | 1520 So R St, Elwood, IN 46036 | 2006-04-11 |
| 1295796159 | Margaret Runelle Romine | Nurse Practitioner | 1520 S R St, Elwood, IN 46036 | 2006-03-30 |
| 1346542016 | Terri Turner | Counselor | 10731 N State Road 13, Elwood, IN 46036 | 2010-12-01 |
| 1962423780 | Stephen E Hall | Anesthesiology | 1331 S A St, Elwood, IN 46036 | 2006-07-21 |
| 1104887066 | Robert James Helm | Family Medicine | 1520 S R St, Elwood, IN 46036 | 2006-03-30 |
| 1013990753 | Alfredo J Tumbali | Psychiatry & Neurology | 1500 S B St Ste 3, Elwood, IN 46036 | 2005-11-28 |
| 1619216348 | Integrated Pain Solutions, Inc | Chiropractor | 517 N Anderson St, Suite 4, Elwood, IN 46036-1293 | 2013-01-31 |
| 1861703191 | Marianne Goshorn | Specialist/Technologist | 1137 N 19th St, Elwood, IN 46036-1376 | 2010-07-01 |
| Find all providers in zip 46036 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720427628 | Angela Christine Drury | Occupational Therapist | 221 Day Road, Mishawaka, IN 46545-1401 | 2013-06-24 |
| 1700169067 | Elizabeth Christoffel | Occupational Therapist | 5510 W. Lincoln Hwy., Schererville, IN 46375 | 2011-09-23 |
| 1891076485 | Shirley Kay Drier | Occupational Therapist | 721 N 13th St, Decatur, IN 46733-1119 | 2011-09-08 |
| 1285646810 | Christine M Habas | Occupational Therapist | 9250 Columbia Ave Ste 1f, Munster, IN 46321-3530 | 2006-08-12 |
| 1215966171 | Northwest Indiana Hand & Pt | Occupational Therapist | 605 Mccord Rd, Valparaiso, IN 46383-3646 | 2006-07-02 |
| 1548242043 | Manoj Kumar | Occupational Therapist | 611 E Douglas Road, Suite 108, Mishawaka, IN 46545 | 2005-11-18 |
| 1033646807 | Shannon Marie Heitmiller | Occupational Therapist | 1260 N 17th St, Lafayette, IN 47904-2163 | 2017-05-11 |
| 1043760291 | Alan Bunch | Occupational Therapist | 1185 W Carmel Dr Bldg C, Carmel, IN 46032-8708 | 2016-10-12 |
| 1477856243 | Theresa Wiegand-swihart | Occupational Therapist | 639 S Walker St, Suite E, Bloomington, IN 47403-2123 | 2010-12-16 |
| 1073844072 | Todd E Meller | Occupational Therapist | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46280-1393 | 2010-01-15 |
| Find all providers with the same taxonomy | ||||
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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.