Individual provider Active NPI

Yuliya Samsa, OT

  • Specialist
  • North Randall, OH
National Provider Identifier
1205208188
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OT.008391 Issued in OH
Practice address
20265 Emery Rd
North Randall, OH 44128-4122
Phone
(216) 584-2720
NPI assigned
Oct 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OT.008391 OH Primary

Addresses

Primary practice location

20265 Emery Rd
North Randall, OH 44128-4122

Mailing address

33005 Rockford Drive
Solon, OH 44139-1928
Phone (216) 403-3155

Other names 1

  • Yuliya Mikina Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT.008391OHMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1205208188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33005 ROCKFORD DRIVE",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441391928",
            "telephone_number": "216-403-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20265 EMERY RD",
            "city": "NORTH RANDALL",
            "state": "OH",
            "postal_code": "441284122",
            "telephone_number": "216-584-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSA",
        "first_name": "YULIYA",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "OT.008391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YULIYA",
            "last_name": "MIKINA",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Randall, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.