Roger B Samuel, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

025767-01 Issued in NY

Practice address

31 Grey LN
Levittown, NY 11756-4446

Phone

(718) 866-8810

Fax

(718) 866-8810

NPI assigned

Sep 18, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1225512122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 GREY LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117564446",
            "telephone_number": "718-866-8810",
            "fax_number": "718-866-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 GREY LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117564446",
            "telephone_number": "718-866-8810",
            "fax_number": "718-866-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "ROGER",
        "middle_name": "B",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-18",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "025767-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashima Sagar, LMT
• Sukhneet Sahota, DDS
• Laura Sakhaee, DDS
• Sam T Malkin DDS, L.L.P.
• Samirkumar J Shah Physician PC
• Alpa Sanghvi
• Denise C Santucci, MD
• Stuart G Saroff, D.D.S.
• Edward Lee Saxer Jr., M.D.
• Philip Schatz, DPM

• Occupational Therapist in Levittown, NY
• Providers in Levittown, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.