Individual provider Active NPI

Samantha Betts, MSOT

  • Pediatric Occupational Therapist
  • Ventura, CA
National Provider Identifier
1215622709
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT24093 Issued in CA
Practice address
4253 Transport St Unit 1
Ventura, CA 93003-5659
Phone
(805) 644-8255
NPI assigned
Apr 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT24093 CA Primary

Addresses

Primary practice location

4253 Transport St Unit 1
Ventura, CA 93003-5659

Mailing address

4253 Transport St Unit 1
Ventura, CA 93003-5659
Phone (805) 644-8255

Other practice location 1

2189 Eastman Ave
Ventura, CA 93003-5792
Phone (805) 639-2600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address samantha.betts@ventura.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251022003756 CA Practitioner - Occupational Therapist in Private Practice 1850889734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1885 FM
2673 Unit 146
Canyon Lake, TX 78133

800 S Victoria Ave
L4640
Ventura, CA 93009-0002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT24093CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince Aug 8, 2025 Accepting new patients
County of Ventura CurrentSince Aug 8, 2025 Accepting new patients
Seaside Speech Therapy, Inc. PastSince Apr 16, 2023 Accepting new patients

Locations

2189 Eastman Ave
Ventura, CA 93003
Phone (805) 639-2600

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

800 S Victoria Ave
#L4640
Ventura, CA 93009

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1215622709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4253 TRANSPORT ST UNIT 1",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035659",
            "telephone_number": "805-644-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4253 TRANSPORT ST UNIT 1",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035659",
            "telephone_number": "805-644-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2189 Eastman Ave",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930035792",
            "country_code": "US",
            "telephone_number": "805-639-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETTS",
        "first_name": "SAMANTHA",
        "credential": "MSOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT24093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha.betts@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "2189 Eastman Ave",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930035792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.