Samantha Mikayla Enloe, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1425 Dewey Blvd Ste a
Butte, MT 59701-3404

Phone

(406) 690-6996

NPI assigned

Aug 6, 2019

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

Enrolled in MT

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neuro Rehab, LLCGroup PAC ID 7618368473, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Neuro Rehab, LLC

  • Neurorehabilitation Occupational Therapist
  • Bozeman, MT
  • NPI 1740850783
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1134774169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 DEWEY BLVD STE A",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013404",
            "telephone_number": "406-690-6996",
            "fax_number": "406-206-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 DEWEY BLVD STE A",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013404",
            "telephone_number": "406-690-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENLOE",
        "first_name": "SAMANTHA",
        "middle_name": "MIKAYLA",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadie Rae Ellingson, LCPC
• Jan Ellis, LCSW
• William Bruce Ellis, M.D.
• Empres at Butte, LLC (Butte Health and Rehabilitation Center)
• Dawn M English, LCSW AND LCPC
• Epiphany Dermatology of Montana, PLLC
• Jaden Howard Erwin, DDS, MSD
• Emily Evans, LCSW
• Mathew Ryan Evans, LCSW
• Evergreen at Butte, L.L.C. (Evergreen Butte Health and REhabilitation Center)

• Occupational Therapist in Butte, MT
• Providers in Butte, MT by specialty
• Occupational Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.