Mrs Amanda Allen Flyckt, OTD, OTR/L is a
Occupational Therapist - Pediatrics based in Cardiff By The Sea, California. Mrs Amanda Allen Flyckt is licensed to practice in California (license number 19334) and her current practice location is
1915 Park Crest Dr, Cardiff By The Sea, California. She can be reached at her office (for appointments etc.) via phone at
(818) 298-1461.
NPI number for Mrs Amanda Allen Flyckt is 1295201887 and her current mailing address is 1915 Park Crest Dr, Cardiff By The Sea, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295201887.
Healthcare Provider's Profile
| Full Name | Mrs Amanda Allen Flyckt |
|---|
| Gender | Female |
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| Speciality | Occupational Therapist - Pediatrics |
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| Location | 1915 Park Crest Dr, Cardiff By The Sea, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295201887
- Provider Enumeration Date: 10/22/2018
- Last Update Date: 12/16/2024
Medical Identifiers
Medical identifiers for Mrs Amanda Allen Flyckt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295201887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 19334 (California) | Secondary |
| 225XF0002X | Occupational Therapist - Feeding, Eating & Swallowing | 19334 (California) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | 19334 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Amanda Allen Flyckt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Amanda Allen Flyckt, OTD, OTR/L
1915 Park Crest Dr,
Cardiff By The Sea, CA 92007-1427
Ph: (818) 298-1461 | Mrs Amanda Allen Flyckt, OTD, OTR/L
1915 Park Crest Dr,
Cardiff By The Sea, CA 92007-1427
Ph: (818) 298-1461 |
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