Active NPI
Samantha West, OTR/L
- Pediatric Occupational Therapist
- Moon Township, PA
National Provider Identifier
1013228378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02038530000 | Medicaid | WV |
Other names 1
- Samantha Bean
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
| License | State | Type | Specialty |
|---|---|---|---|
| OC015319 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Steps Therapy, LLC | Pediatrics | Past | 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.