Samantha Grace Nelson
Individual provider Active NPI Occupational Therapy Assistant · Medina, NY
NPI 1164192514 · NPPES record last updated Sep 16, 2021
Key facts
- NPI
- 1164192514
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 450594 (NY)
- Practice address
- 200 Ohio St
Medina, NY 14103-1063 - Phone
- (585) 798-2000
- NPI assigned
- Sep 16, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 450594 | NY | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 450594 | NY | Yes |
Addresses
Primary practice location
200 Ohio St
Medina, NY 14103-1063
Mailing address
3213 Lower Mountain Rd
Sanborn, NY 14132-9427
Phone (716) 377-0053
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | url | Health Information Exchange (HIE) |
Other providers in Medina, NY
- Richard Alan Mufford Jr.
- Joanne Patricia Murray
- Eric R Musial
- Gary Nadeau
- Nadia Alexandra Nava
- New York Physician Medical Services, PLLC
- Peyton Dare Notebaert
- Oak Orchard Community Health Center, Inc.
- Michele R Odrobina
- Omop LLC
All providers in Medina, NY · Occupational Therapy Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.