Erica Samuelson, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

202575 Issued in MN

Practice address

7425 Old Sauk Rd Unit 204
Madison, WI 53717-1252

Phone

(218) 277-9524

NPI assigned

Feb 1, 2021

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1063003184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 OLD SAUK RD UNIT 204",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171252",
            "telephone_number": "218-277-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 OLD SAUK RD UNIT 204",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171252",
            "telephone_number": "218-277-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELSON",
        "first_name": "ERICA",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MN",
            "license": "202575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chijioke Akam Samuel
• Kassandra Marie Sakura Samuel
• Shalom Samuel, D.C
• Gregory M Samuels, DDS
• Amy Lynn Samuelson, DPT
• Eden Data Sana
• Marquis Luis Sanabrais, PT, DPT
• Rachel Maria Sanabria, LCSW
• Carolina Sanchez Aranda, MD
• Emanuel Sanchez, PHD

• Occupational Therapy Assistant in Madison, WI
• Providers in Madison, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.