Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Amanda Elizabeth Nicolussi, MOT, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1982935540

Mrs. Amanda Elizabeth Nicolussi, MOT, OTR/L is a Pediatric Occupational Therapist in Plymouth, Michigan. Licensed in Illinois and Michigan. Registered with an NPI since 2010.

Licensed in
IL, MI
In the registry since
2010
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

9357 General Dr
Plymouth, MI 48170-4662
Phone: (734) 454-0866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 056.008910 (IL)
Occupational Therapist Taxonomy 225X00000X · Licence 5201008235 (MI)

Record details

NPI number1982935540
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOT , OTR/L
Sole proprietorNo
NPI enumeratedJanuary 21, 2010
Last updated in NPPESMay 17, 2013

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