Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Lee Theobald

Individual provider Occupational Therapist · NPI 1528699824

Amanda Lee Theobald is an Occupational Therapist in Private Practice in Columbus, Ohio. Qualified in 2006, 20 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
20
Licensed in
OH
In the registry since
2020
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Practice location Address checks out

170 Taylor Station Rd Ste 220
Columbus, OH 43213-4491
Phone: (614) 866-8158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT006819 (OH)

Record details

NPI number1528699824
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 27, 2020
Last updated in NPPESNovember 27, 2023
Certification dateJanuary 27, 2020
Mailing address2030 Kingman Ct, Lewis Center, OH 43035-9022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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