MRS. AMANDA A PETKER OT NPI 1902065139

NPI Information

NPI: 1902065139
Provider Name: MRS. AMANDA A PETKER, OT
Classification: Occupational Therapist - 225XH1200X
Entity Type: Individual

Specialization: Hand

Address:
226 S ANDERSON ST STE B
ELWOOD, IN
ZIP 46036
Phone: (765) 552-8460
Get Directions

MRS. Amanda A Petker, OT is a hand occupational therapist in Elwood, IN. MRS. Amanda A Petker, OT NPI is 1902065139. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

226 S ANDERSON ST STE B
ELWOOD, IN
ZIP 46036-015
Phone: (765) 552-8460
Fax: (765) 552-8470

The enumeration date for this NPI number is 6/3/2008 and was last updated on 1/26/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225X00000X	Occupational Therapist		31004646A	INDIANA	No
2	225XH1200X	Occupational Therapist	Hand	31004646A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00702440	OTHER	INDIANA	RR MEDICARE
2	062110I9	MEDICARE PIN	INDIANA
3	15624	MEDICARE PIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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