Samantha Green

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

08585 Issued in MD

Practice address

15850 Crabbs Branch Way # 150
Rockville, MD 20855

Phone

(301) 869-7505

NPI assigned

Mar 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Kidz Korner

  • Pediatric Occupational Therapist
  • Niceville, FL
  • NPI 1568107746
  NPD (past)

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1144722885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N VAN BUREN ST",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501873",
            "telephone_number": "850-974-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15850 CRABBS BRANCH WAY # 150",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20855",
            "telephone_number": "301-869-7505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Eglin Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325485899",
            "country_code": "US",
            "telephone_number": "850-200-4348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15850 Crabbs Branch Way # 150",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "20855",
            "country_code": "US",
            "telephone_number": "301-869-7505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "5880",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "19063",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "08585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Green
• Nicole Green
• Rebecca Green, MSW
• Robert Green
• Sabrina Green
• Skylar Green
• Tanya Green, M.S.
• Toni Green
• Tristian Green
• Vanessa Green

• Occupational Therapist in Rockville, MD
• Providers in Rockville, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.