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

MS. Amanda Mack, OTD

Individual provider Occupational Therapist · NPI 1760255624

MS. Amanda Mack, OTD is an Occupational Therapist in Private Practice in Saint Louis, Missouri. Qualified in 2019, 7 years ago. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2023
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

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Practice location Address checks out

4444 Forest Park Ave Dept Occupational Therapy Ste 2210
Saint Louis, MO 63108-2212
Phone: (314) 286-1669
Fax: (314) 627-7219
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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 2022040864 (MO)

Record details

NPI number1760255624
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD
Sole proprietorNo
NPI enumeratedNovember 2, 2023
Last updated in NPPESApril 17, 2025
Certification dateNovember 2, 2023

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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