MRS. AMANDA A PETKER OT NPI 1902065139

NPI Information

  • NPI: 1902065139
  • Provider Name: MRS. AMANDA A PETKER, OT
  • Classification: Occupational Therapist - 225XH1200X
  • Specialization: Hand
  • Entity Type: Individual
  • Address: 226 S ANDERSON ST STE B
    ELWOOD, IN
    ZIP 46036
  • Phone: (765) 552-8460

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NPI Details

MRS. Amanda A Petker, OT is a hand occupational therapist in Elwood, IN. MRS. Amanda A Petker, OT NPI is 1902065139. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

226 S ANDERSON ST STE B
ELWOOD, IN
ZIP 46036-015
Phone: (765) 552-8460
Fax: (765) 552-8470

The enumeration date for this NPI number is 6/3/2008 and was last updated on 1/26/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225X00000XOccupational Therapist31004646AINDIANANo
2225XH1200XOccupational TherapistHand31004646AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00702440OTHERINDIANARR MEDICARE
2062110I9MEDICARE PININDIANA
315624MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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