Jennifer Lynn Sampson, OTR/L, CHT

Primary specialty

SpecialistTaxonomy code 174400000X

License

009647 Issued in NY

Practice address

2108 Merrick Mall
Merrick, NY 11566-3626

Phone

(516) 868-5302

NPI assigned

Jan 19, 2006

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

Other names 1

• Jennifer Lynn Kowalczyk Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• H&D Physical Therapy & Occupational Therapy PLLC

  dba H&D Physical Therapy

  • Physical Therapist
  • New York, NY
  • NPI 1235174228
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1063492569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 LAUREL CT",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832643",
            "telephone_number": "917-543-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 MERRICK MALL",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663626",
            "telephone_number": "516-868-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "009647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KOWALCZYK",
            "middle_name": "LYNN",
            "credential": "OTR/L, CHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sacred Space Therapy
• Marla Sue Sadownick, M.S.,P.T.
• Stephanie Sager, DDS
• Maria Rose Salvato, RN
• Ronald Sambat, LMT, MS
• Darlene Maria Sanchez, FNP
• Joseph Christopher Sangiorgio, R.PH.
• Joyce Savoy, RD
• Barbaranne Scalise, P.T.
• Julie L Scandaglia

• Specialist in Merrick, NY
• Providers in Merrick, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.