AMANDA GLASS OTR/L
NPI 1306557079
Occupational Therapist in Canton, GA

Active since December 13, 2022
150 HOSPITAL CIR, CANTON, GA 30114(770) 479-5649 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Amanda Glass Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA GLASS OTR/L (NPI 1306557079) is an individual occupational therapist in Canton, Georgia, licensed in Georgia (OT008710) and active in the NPI registry since December 2022. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1306557079
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameAMANDA GLASSCredential: OTR/L
Location Address150 HOSPITAL CIRCanton, GA 30114-3209
Mailing Address4675 Old Stilesboro Rd NwAcworth, GA 30101-4067 · (404) 406-3385
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 13, 2022
NPPES CertifiedDecember 13, 2022
NPI 1306557079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in GA · OT008710
Definition

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.

150 HOSPITAL CIR, Canton, GA 30114

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amanda Glass Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193198570
PECOS Enrollment IDI20230306001811

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
150 HOSPITAL CIR
CANTON, GA 30114
Physical Therapy Assistant
150 HOSPITAL CIR
CANTON, GA 30114
Physical Therapy Assistant
150 HOSPITAL CIR
CANTON, GA 30114
Occupational Therapy Assistant
150 HOSPITAL CIR
CANTON, GA 30114
Occupational Therapy Assistant
150 HOSPITAL CIR
CANTON, GA 30114
Physical Therapist
150 HOSPITAL CIR
CANTON, GA 30114
Skilled Nursing Facility
150 HOSPITAL CIR
CANTON, GA 30114
Speech-Language Pathologist
150 HOSPITAL CIR
CANTON, GA 30114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306557079, enumerated as an "individual" on December 13, 2022.

The provider is located at 150 HOSPITAL CIR CANTON, GA 30114 and the phone number is (770) 479-5649.

Occupational Therapist with taxonomy code 225X00000X.