AMANDA BLACK MOT, OTR/L
NPI 1992362818
Occupational Therapist in Potlatch, ID
About Amanda Black Mot, Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA BLACK MOT, OTR/L (NPI 1992362818) is an individual occupational therapist in Potlatch, Idaho, licensed in Idaho (OT-1112) and active in the NPI registry since May 2019. She maintains a secondary practice location in Moscow.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amanda Black Mot, Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amanda Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Moscow, ID 83843
- Reassigned Medicare billing, Idaho enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
POTLATCH, ID 83855
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Amanda Black's NPI number?
The NPI number for Amanda Black is 1992362818. It was assigned to this individual provider in the NPPES registry on May 27, 2019.
Where is Amanda Black located?
Amanda Black practices at 510 Elm St, Potlatch, ID 83855. The listed phone number is (208) 669-3186.
What is Amanda Black's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Amanda Black enrolled in Medicare?
Yes. Amanda Black is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amanda Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Black reassigns Medicare benefits to Bk Inc. (Moscow, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amanda Black was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.