Samantha L Henderson, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA.05487 Issued in OH

Practice address

3057 Cleveland Ave SW
Canton, OH 44707-3625

Phone

(330) 484-2547

NPI assigned

Aug 26, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bekidspt LLC

  • Physical Therapist
  • Canton, OH
  • NPI 1568082451

  Occupational Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1023418142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 COMMONWEALTH AVE NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446464526",
            "telephone_number": "330-760-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 CLEVELAND AVE SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447073625",
            "telephone_number": "330-484-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "SAMANTHA",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA.05487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Hendershot, PA-C
• Anne Marie Henderson, OTR/L
• April A Henderson
• Elizabeth Ann Henderson, PH.D.
• Latoya Marie Henderson
• Tanaya Annette Henderson
• Christian Hendricks, MA, LPCC
• Cynthia B Hendricks, LPCC-S
• Sydney Rae Hendricks, OTR/L
• Amber Hennebert, M.A., CCC-SLP

• Occupational Therapy Assistant in Canton, OH
• Providers in Canton, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.