Individual provider Active NPI

Samantha Miller, COTA/L

  • Occupational Therapy Assistant
  • Hampton, VA
National Provider Identifier
1023656360
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
0131003078 Issued in VA
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

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 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
46TA09186600NJMDOccupational Therapy Assistant
OP009724PAMDOccupational Therapy Assistant
0131003078VAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mane Stream, Inc. PastSince Dec 1, 2019 Accepting new patients
Fleming Therapy Services, LLC PastSince Jun 23, 2025 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.

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.

Verify at the official NPI Registry.