Amy Easterly Nistico, M.O.T.
NPI 1104038322ActiveIndividual· Occupational Therapist· Corvallis, OR
Occupational Therapist (M.O.T.) with Good Samaritan Hospital Corvallis, practicing in Corvallis, Oregon. Medicare paid $3,463 for services to 29 patients in 2024.
Overview
| NPI | 1104038322 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.O.T. |
| Sole proprietor | No |
| NPI issued | May 3, 2007 |
| Last updated in NPPES | Nov 11, 2020 |
| Certified by provider | Nov 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 105826 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 29 |
|---|---|
| Services billed | 90 across 6 procedure codes |
| Paid by Medicare | $3,463 |
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Good Samaritan Hospital CorvallisCorvallis, OR · 380 clinicians
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All 37 occupational therapists in Corvallis · All occupational therapists in Oregon