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

Mrs. Amy Easterly Nistico, MOT

Individual provider Occupational Therapist · NPI 1104038322

Mrs. Amy Easterly Nistico, MOT is an Occupational Therapist in Private Practice in Corvallis, Oregon. Qualified in 2001, 25 years ago. Practices with Good Samaritan Hospital Corvallis, a 375-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
25
Licensed in
OR
In the registry since
2007
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Practice location Address checks out

815 NW 9th St SUITE180
Corvallis, OR 97330-6173
Phone: (541) 768-5157
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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 105826 (OR)

Record details

NPI number1104038322
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOT
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESNovember 11, 2020
Certification dateNovember 11, 2020

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Good Samaritan Hospital Corvallis — 375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Corvallis