Active NPI
Samantha Miller, COTA/L
- Occupational Therapy Assistant
- Hampton, VA
National Provider Identifier
1023656360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 0131003078
- Practice address
- 1062 W Mercury Blvd # B
Hampton, VA 23666-1068 - Phone
- (757) 644-0644
- NPI assigned
- Dec 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OP009724 | PA | |
| Occupational Therapy Assistant | 224Z00000X | 46TA09186600 | NJ | |
| Occupational Therapy Assistant | 224Z00000X | 0131003078 | VA | Primary |
Addresses
Primary practice location
1062 W Mercury Blvd # B
Hampton, VA 23666-1068
Mailing address
4454 Old Squaw LN
Gloucester, VA 23061-3644
Phone (908) 914-2984
Other names 1
- Samantha Eppell
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 |
|---|---|---|---|
| 46TA09186600 | NJ | MD | Occupational Therapy Assistant |
| OP009724 | PA | MD | Occupational Therapy Assistant |
| 0131003078 | VA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mane Stream, Inc. | Past | Accepting new patients | |
| Fleming Therapy Services, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Stafford, VA
- NPI 1194925818
-
- Rehabilitation Clinic/Center
- Oldwick, NJ
- NPI 1245623263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1023656360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4454 OLD SQUAW LN",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "230613644",
"telephone_number": "908-914-2984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1062 W MERCURY BLVD # B",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236661068",
"telephone_number": "757-644-0644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SAMANTHA",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-17",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "OP009724",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NJ",
"license": "46TA09186600",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "VA",
"license": "0131003078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "EPPELL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.