Samantha E Nusbaum

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

14913 Issued in CA

Practice address

1281 9TH Ave Unit 1312
San Diego, CA 92101-4656

Phone

(516) 316-1110

NPI assigned

Jun 8, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Priority One Therapy PT OT SLP PLLC

  • Rehabilitation Practitioner
  • Oceanside, NY
  • NPI 1447517453
  Medicare reassignment
• PT and OT for Senior Rehab at Home PLLC

  • Geriatric Physical Therapist
  • Brooklyn, NY
  • NPI 1811463003
  Medicare reassignment

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1205216843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 9TH AVE UNIT 1312",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014656",
            "telephone_number": "516-316-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 9TH AVE UNIT 1312",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014656",
            "telephone_number": "516-316-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSBAUM",
        "first_name": "SAMANTHA",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "14913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA OT LICENSE",
            "identifier": "14913",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sulaiman Nuri
• Nurova Psychology Inc
• Nurse Brotox Aesthetics and Wellness
• Nurtura Home Health Care Services LLC
• Glenn C Nusbaum, D.C.
• Brian Nussbaum, MA, AMFT
• Alexandra Nutaitis, DO
• Haley Nute, RDN
• Liana Nute
• Mona Nuthall, F.N.P

• Occupational Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.