Healthcare Provider Details

I. General information

NPI: 1841199718
Provider Name (Legal Business Name): RICHARD AMOAKO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2026
Last Update Date: 11/05/2026
Certification Date: 11/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

172 TALMADGE DR
SPRINGFIELD MA
01118-2521
US

IV. Provider business mailing address

172 TALMADGE DR
SPRINGFIELD MA
01118-2521
US

V. Phone/Fax

Practice location:
  • Phone: 413-557-0927
  • Fax:
Mailing address:
  • Phone: 413-557-0927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOTL15282
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: