MRS. AMANDA M SHULTZ (NPI# 1407052574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407052574 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA M SHULTZ |
| Credential | OTRL |
| Practice Address |
1211a Ireland Dr Fayetteville NC 28304-3372 |
| Mailing Address |
6731 Shad Ct Stedman NC 28391-9448 |
| Practice Telephone | 9104861605 |
| Practice Fax Number | 9104861590 |
| Mailing Telephone | 9104851643 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 2227 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1601 Purdue Dr, Fayetteville, NC 283043674 | 9106720061 | 9106720061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336512730 | Amanda Shultz | Physical Therapist | 70 Butler Street, Salem, NH 03079 | 2015-11-06 |
| 1982011516 | Amanda Christine Shultz | Physician Assistant | 2350 Freedom Way Ste 200, York, PA 17402-8200 | 2014-07-15 |
| Street Address |
1211A IRELAND DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790818847 | Marjory A Cannon | Physical Therapist | 1211a Ireland Dr, Fayetteville, NC 28304-3372 | 2007-03-14 |
| 1912315151 | Betty Bradshaw | Nurse Practitioner | 1211a Ireland Dr, Fayetteville, NC 28304-3372 | 2014-07-31 |
| 1417244534 | Helen D Conaty | Speech-Language Pathologist | 1211a Ireland Dr, Fayetteville, NC 28304-3372 | 2011-07-10 |
| 1841414257 | State of Nc Division of Health Services | Clinic/Center | 1211a Ireland Dr, Fayetteville, NC 28304-3372 | 2007-04-13 |
| 1518082759 | Lisa Renee Hemstreet | Psychologist | 1211a Ireland Dr, Fayetteville, NC 28304-3372 | 2007-03-20 |
| 1154454239 | Judith Lynn Pittard | Speech-Language Pathologist | 1211a Ireland Dr, Fayetteville, NC 28304-3372 | 2007-03-14 |
| 1356474431 | Cynthia Janelle Carter | Speech-Language Pathologist | 1211a Ireland Dr, Fayetteville, NC 28304-3372 | 2007-03-14 |
| 1144353210 | Kimberly Ann Webb | Social Worker | 1211a Ireland Dr, Fayetteville, NC 28304-3372 | 2007-03-14 |
| 1164555264 | Zelina A Henry | Physical Therapist | 1211a Ireland Dr, Fayetteville, NC 28304-3372 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| 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 |
|---|---|---|---|---|
| 1164029690 | Nicole Kathleen Simmler | Occupational Therapist | 7120 Tres Ct, Fayetteville, NC 28314-5272 | 2020-10-07 |
| 1639799877 | Kimberly Craw Myers | Occupational Therapist | 550 Warren Street, Apt. 5d, Fayetteville, NY 13066-2154 | 2020-04-17 |
| 1528687472 | Edutherapy Connection LLC | Occupational Therapist | 3518 Grenedine Dr, Fayetteville, NC 28306 | 2020-04-10 |
| 1699302687 | Kelsey Taylor Lisicia | Occupational Therapist | 500 Lanier Ave W Ste 603, Fayetteville, GA 30214-7644 | 2020-03-27 |
| 1598397283 | Mallory Boozer | Occupational Therapist | 2713 Breezewood Ave # 5535, Fayetteville, NC 28303-5534 | 2020-02-10 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1639726425 | Samantha Lynn Dipaolo | Occupational Therapist | 1555 Cain Rd Ste 200, Fayetteville, NC 28303-3076 | 2019-08-26 |
| 1114421922 | Serc Rehabilitation Partners LLC | Occupational Therapist | 1261 N Steamboat Dr Ste 2, Fayetteville, AR 72704-6262 | 2018-03-19 |
| 1730607540 | Tamara Terry | Occupational Therapist | 290 Ga-314 B, Fayetteville, GA 30214 | 2017-08-31 |
| 1760908867 | Natalie Snow | Occupational Therapist | 6226 W Persimmon St, Fayetteville, AR 72704-7054 | 2017-08-21 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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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.