MISS AMANDA MARIE YOUNGGREEN (NPI# 1124392360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124392360 |
| Entity Type | Individual |
| Full Name | MISS AMANDA MARIE YOUNGGREEN |
| Credential | COTA |
| Practice Address |
103 Gossman Drive Southern Pines NC 28387 |
| Mailing Address |
95 Community Rd #4 Pinehurst NC 28374 |
| Practice Telephone | 9106927293 |
| Practice Fax Number | 9106927293 |
| Mailing Telephone | 8435992677 |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 7868 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
103 GOSSMAN DRIVE |
| City | SOUTHERN PINES |
| State | NC |
| Zip Code | 28387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043483126 | Kasey Michelle Mccann | Physical Therapy Assistant | 103 Gossman Drive, Southern Pines, NC 28387-2225 | 2008-04-09 |
| 1972853240 | Katherine Dooher | Occupational Therapist | 103 Gossman Drive, Southern Pines, NC 28387 | 2012-09-14 |
| 1013222975 | Randi Michelle Laws | Occupational Therapist | 103 Gossman Drive, Southern Pines, NC 28387 | 2010-08-16 |
| 1619134822 | Danielle Jennings Ashley | Specialist | 103 Gossman Drive, Southern Pines, NC 28387 | 2008-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861972028 | Wright and Associates X Dds Pa | Dentist | 10677 Nc Hwy 15-501, Southern Pines, NC 28387 | 2018-08-17 |
| 1821507294 | Brooke Ashley Thomas | Physical Therapist | 275 Pinehurst Ave Suite B, Southern Pines, NC 28387 | 2017-09-28 |
| 1497208987 | Laura Permelia Jackson | Specialist/Technologist | 3300 Airport Road, Southern Pines, NC 28387 | 2016-08-01 |
| 1164860417 | Monarch | Community/Behavioral Health | 1662 Richards St, Southern Pines, NC 28387 | 2013-06-10 |
| 1619313202 | Nicole Jacobs | Psychiatry & Neurology | 195 West Illinois Avenue, Attn: April Smith, Southern Pines, NC 28387 | 2013-05-22 |
| 1932458395 | Heather N Dunning | Social Worker | 230 Murray Hill Rd, Southern Pines, NC 28387 | 2012-08-31 |
| 1487948451 | Hugh Perry Gayman Jr. | Physical Therapist | 103 Gossman Dr, Southern Pines, NC 28387 | 2011-06-07 |
| 1083919245 | John Adam Petty | Chiropractor | 1295 Old Us 1, Suite F, Southern Pines, NC 28387 | 2011-01-20 |
| 1962704775 | Specialty Pharmacy-southern Pines LLC | Pharmacy | 735 S. Bennett St., Southern Pines, NC 28387 | 2010-11-30 |
| 1922317080 | At Home Senior Services, Inc. | Home Health | 340 Commerce Avenue, Suite 14-a Yadkin Plaza, Southern Pines, NC 28387 | 2010-10-06 |
| Find all providers in zip 28387 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932368750 | Dawn Marie Sageman | Occupational Therapy Assistant | 401 East Rhode Island, Southern Pines, NC 28388 | 2008-06-06 |
| 1902002306 | Cynthia Denise Mccall | Occupational Therapy Assistant | 101 Brucewood Rd, Southern Pines, NC 28387-5159 | 2007-06-22 |
| 1457919078 | Alexandria Stark | Occupational Therapy Assistant | 103 Gossman Rd, Southern Pines, NC 28387-2225 | 2019-05-29 |
| 1962977090 | Tamara Korpak | Occupational Therapy Assistant | 101 Brucewood Rd, Southern Pines, NC 28387-5159 | 2018-10-04 |
| 1366953598 | Rita Bianco Pena | Occupational Therapy Assistant | 205 Se Service Rd, Southern Pines, NC 28387-5057 | 2017-10-16 |
| 1790239044 | Cheryl Lohman | Occupational Therapy Assistant | 101 Brucewood Rd, Southern Pines, NC 28387-5159 | 2016-08-03 |
| 1295082667 | Jennifer Taylor | Occupational Therapy Assistant | 280 Pinehurst Ave, Suite 6, Southern Pines, NC 28387-6350 | 2012-08-05 |
| 1992093462 | Solange Robin Neill | Occupational Therapy Assistant | 103 Gossman Rd, Southern Pines, NC 28387-2225 | 2011-07-18 |
| 1538486121 | Angela Dawn Marceau | Occupational Therapy Assistant | 103 Gossman Rd, Southern Pines, NC 28387-2225 | 2010-04-22 |
| 1497087886 | Karen Tiller | Occupational Therapy Assistant | 103 Gossman Rd, Southern Pines, NC 28387-2225 | 2010-02-09 |
| Find all providers in SOUTHERN PINES | ||||
| City | SOUTHERN PINES |
| Zip Code | 28387 |
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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.