AMANDA LEE PETERSEN (NPI# 1962746818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962746818 |
| Entity Type | Individual |
| Full Name | AMANDA LEE PETERSEN |
| Credential | OTR |
| Practice Address |
90 Howard Dr Shelbyville KY 40065-8138 |
| Practice Telephone | 5026331007 |
| Practice Fax Number | 5024370624 |
| Mailing Telephone | 5026331007 |
| Mailing Fax Number | 5024370624 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2017-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881239499 | Amanda Petersen | Nurse Practitioner | Utmb Health--department of Surgery 301 University Blvd, 6.146 John Sealy Annex, Galveston, TX 77555-0527 | 2019-11-07 |
| 1689163222 | Amanda Petersen | Nurse Practitioner | 775 Pole Line Rd W Ste 113, Twin Falls, ID 83301-5819 | 2018-05-09 |
| 1487908547 | Amanda Petersen | Health Educator | 103 E Macarthur Ave, Bloomington, IL 61701-5234 | 2012-10-28 |
| 1063983724 | Amanda Joan Petersen | Nurse Anesthetist, Certified Registered | Duluth Clinic, 400 East Third Street, Duluth, MN 55805-1951 | 2018-12-06 |
| 1154760627 | Amanda Ruth Petersen | Counselor | 2200 4th St, Baker City, OR 97814-2615 | 2013-06-18 |
| 1528391372 | Amanda D Petersen | Physician Assistant | 4804 W Clearwater Ave, Kadlec Clinic Urgent Care, Kennewick, WA 99336 | 2009-09-11 |
| 1215186192 | Amanda Ward Petersen | Physical Therapy Assistant | 1610 N Queen St, Kinston, NC 28501-2947 | 2008-09-16 |
| Street Address |
90 HOWARD DR |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065-8138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639110646 | Alison Hill Lewis | Physical Therapist | 90 Howard Dr, Shelbyville, KY 40065 | 2006-06-09 |
| 1801408844 | Layal Atieh | Speech-Language Pathologist | 90 Howard Dr, Shelbyville, KY 40065-8138 | 2020-08-20 |
| 1548872559 | Hannah Grace Bowers | Speech-Language Pathologist | 90 Howard Dr, Shelbyville, KY 40065-8138 | 2020-08-20 |
| 1417569443 | Shelby Dawn Phillips-brown | Occupational Therapist | 90 Howard Dr, Shelbyville, KY 40065-8138 | 2020-08-20 |
| 1639781651 | Kirby Kiana Pittman | Speech-Language Pathologist | 90 Howard Dr, Shelbyville, KY 40065-8138 | 2020-08-20 |
| 1043821168 | Kathryn Mary Noonan | Occupational Therapist | 90 Howard Dr, Shelbyville, KY 40065-8138 | 2020-08-12 |
| 1083232060 | Kelsey Dawn King | Speech-Language Pathologist | 90 Howard Dr, Shelbyville, KY 40065-8138 | 2020-07-07 |
| 1144847427 | Chelsea Dejesus | Occupational Therapist | 90 Howard Dr, Shelbyville, KY 40065-8138 | 2020-07-02 |
| 1588298657 | Alyse Gabrielle Gunn | Occupational Therapist | 90 Howard Dr, Shelbyville, KY 40065-8138 | 2020-02-27 |
| 1932733003 | Dana Jean Humphrey | Occupational Therapist | 90 Howard Dr, Shelbyville, KY 40065-8138 | 2020-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
| 1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
| 1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
| 1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
| Find all providers in zip 40065 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835299 | Claire Hammer Smith | Occupational Therapist | 221 S Evergreen Rd, Louisville, KY 40243-2007 | 2020-09-14 |
| 1881227320 | Allison Weedman | Occupational Therapist | 1109 Bentwood Place Ct, Louisville, KY 40207-2303 | 2020-02-12 |
| 1366081127 | Jamie Lynn Ellis | Occupational Therapist | 993 Mason Headley Rd, Lexington, KY 40504-2246 | 2019-12-27 |
| 1679127500 | Jana Rosanne Prichard | Occupational Therapist | 1008 Overboard Ct, Bowling Green, KY 42103-9602 | 2019-07-29 |
| 1952805525 | Mary S Kolb | Occupational Therapist | 2717 Fort Pickens Rd, La Grange, KY 40031-9252 | 2018-03-20 |
| 1770004897 | Johanna Kyger | Occupational Therapist | 67 Jacks Ln, Somerset, KY 42501-6152 | 2017-06-28 |
| 1639607880 | Sara Mae Welsh | Occupational Therapist | 1123 N Bardstown Rd Unit 2, Mt Washington, KY 40047-7844 | 2017-06-01 |
| 1982136024 | Sarah Veillon | Occupational Therapist | 2801 Us Highway 25 E Ste 98, Middlesboro, KY 40965-2075 | 2017-03-29 |
| 1376995803 | Whitney Barr | Occupational Therapist | 144 Sunningdale Dr, Georgetown, KY 40324-8889 | 2016-07-08 |
| 1417301771 | Melissa Zavell | Occupational Therapist | 733 S Barbee Way, Louisville, KY 40217-2107 | 2016-04-22 |
| Find all providers with the same taxonomy | ||||
| City | SHELBYVILLE |
| Zip Code | 40065 |
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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.