Active NPI
Samantha Drafke, OTD, OTR/L
- Occupational Therapist
- Tampa, FL
National Provider Identifier
1205583978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 22719
- Practice address
- 15002 Hutchison Rd
Tampa, FL 33625-5509 - Phone
- (813) 960-1969
- NPI assigned
- Mar 3, 2022
- Last updated
- Mar 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 22719 | FL | Primary |
Addresses
Primary practice location
15002 Hutchison Rd
Tampa, FL 33625-5509
Mailing address
14800 Walsingham Rd Apt 801
Largo, FL 33774-3311
Phone (630) 464-8780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22719 | Other | FL | OCCUPATIONAL THERAPY LICENSURE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22719 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646265600000",
"number": "1205583978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14800 WALSINGHAM RD APT 801",
"city": "LARGO",
"state": "FL",
"postal_code": "337743311",
"telephone_number": "630-464-8780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15002 HUTCHISON RD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336255509",
"telephone_number": "813-960-1969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAFKE",
"first_name": "SAMANTHA",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-03",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "22719",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPY LICENSURE",
"identifier": "22719",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.