Individual provider Active NPI

Samantha West, OTR/L

  • Pediatric Occupational Therapist
  • Moon Township, PA
National Provider Identifier
1013228378
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Practice address
1005 Beaver Grade Rd Ste 120
Moon Township, PA 15108-2949
Phone
(412) 742-0964
NPI assigned
Jul 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X WV Primary
Occupational Therapist 225X00000X OC015319 PA

Addresses

Primary practice location

1005 Beaver Grade Rd Ste 120
Moon Township, PA 15108-2949

Mailing address

6867 Southpoint Dr N
Suite 106
Jacksonville, FL 32216-8043

Other practice location 1

6867 Southpoint Dr N
Suite 106
Jacksonville, FL 32216-8043
Phone (904) 619-6071

Other identifiers 1

IdentifierTypeStateIssuer
02038530000MedicaidWV

Other names 1

  • Samantha Bean Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OC015319PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Steps Therapy, LLC Pediatrics PastSince May 7, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1013228378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6867 SOUTHPOINT DR N",
            "address_2": "SUITE 106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BEAVER GRADE RD STE 120",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082949",
            "telephone_number": "412-742-0964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6867 Southpoint Dr N",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322168043",
            "country_code": "US",
            "telephone_number": "904-619-6071",
            "fax_number": "904-212-0309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "SAMANTHA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WV",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC015319",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02038530000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "BEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moon Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.