Healthcare Provider Details

I. General information

NPI: 1952681009
Provider Name (Legal Business Name): AMY M ADAMSON OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2011
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 S LAKEVIEW CT
GODDARD KS
67052-9228
US

IV. Provider business mailing address

8004 W PALMETTO ST
WICHITA KS
67205-5210
US

V. Phone/Fax

Practice location:
  • Phone: 316-252-0445
  • Fax:
Mailing address:
  • Phone: 316-409-1719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number17-01597
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: