Active NPIIndividual providerSole proprietor

Amanda Leadem, OT

Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine in Forked River, New Jersey

NPI Number1639424252
Practice location
1007 Inland RD, Forked River, NJ 08731-5209
Fax
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Last updated
January 31, 2019

Amanda Leadem is a Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine based in Forked River, NJ. Amanda Leadem practices in Forked River, NJ and has the professional credentials of OT. The NPI Number for Amanda Leadem is 1639424252 and holds a License No. 46TR00496100 (NJ). The current practice location address for Amanda Leadem is 1007 Inland RD, Forked River, NJ 08731-5209 and can be reached out via phone at 732-761-0088.

Provider Profile Details

NPI Number
1639424252
Provider Name
Amanda Leadem
Credential
OT
Provider Entity Type
Individual
Gender
Female
Address
1007 Inland RD, Forked River, NJ 08731-5209
Phone Number
732-761-0088
Sole Proprietor
Yes
Provider Enumeration Date
July 19, 2012
Last Update Date
January 31, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1007 Inland RD
Forked River, NJ 08731-5209
Zip
08731-5209
Phone Number
732-761-0088
Forked River, NJ 08731Get directions →

Provider Business Mailing Address Details

Address
1007 Inland RD
Forked River, NJ 08731-5209
City
Forked River
State
NJ
Zip
08731-5209

License Information

License Number
46TR00496100
License State
NJ

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda Leadem, OT?

The NPI number of Amanda Leadem, OT is 1639424252. It was assigned on July 19, 2012 and is currently active in the NPPES registry.

What is the specialty of Amanda Leadem, OT?

Amanda Leadem, OT is registered under the primary taxonomy Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (code 2081P0010X), licensed in NJ under license number 46TR00496100.

Where does Amanda Leadem, OT practice?

The practice location is 1007 Inland RD, Forked River, NJ 08731-5209. The office can be reached at 732-761-0088 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639424252 directly on the NPPES registry website.

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