Healthcare Provider Details

I. General information

NPI: 1740638014
Provider Name (Legal Business Name): AMANDA ANNE ROBERTSON-JONES MOT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA JONES

II. Dates (important events)

Enumeration Date: 05/27/2016
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11083 HAMILTON AVE
CINCINNATI OH
45231-1409
US

IV. Provider business mailing address

439 LAFAYETTE AVE
BELLEVUE KY
41073-1331
US

V. Phone/Fax

Practice location:
  • Phone: 513-284-4702
  • Fax:
Mailing address:
  • Phone: 513-284-4702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number167235
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number007954
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: