Active NPI
Mamta Sampemane, OTR
- Occupational Therapist
- Laurel, MD
National Provider Identifier
1073083655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 05234
- Practice address
- 14409 Greenview Drive Ste 102
Laurel, MD 20708 - Phone
- (301) 498-8100
- NPI assigned
- Nov 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 05234 | MD | Primary |
Addresses
Primary practice location
14409 Greenview Drive Ste 102
Laurel, MD 20708
Mailing address
P. O. Box 500
Brookeville, MD 20833-0500
Phone (301) 498-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05234 | Other | MD | MARYLAND DEPT OF HEALTH & MENTAL HYGIENE |
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 |
|---|---|---|---|
| 05234 | MD | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Services, Inc. | Occupational Therapist | Past | Accepting new patients |
| Associated Professional Rehabilitation Services, Inc. | Occupational Therapist | 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.
-
- Physical Therapist
- Laurel, MD
- NPI 1275639155
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1073083655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 500",
"city": "BROOKEVILLE",
"state": "MD",
"postal_code": "208330500",
"telephone_number": "301-498-8100",
"fax_number": "301-498-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14409 GREENVIEW DRIVE STE 102",
"city": "LAUREL",
"state": "MD",
"postal_code": "20708",
"telephone_number": "301-498-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPEMANE",
"first_name": "MAMTA",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "05234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND DEPT OF HEALTH & MENTAL HYGIENE",
"identifier": "05234",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.