Individual provider Active NPI

Sandra Melissa Samayoa, COTA

  • Occupational Therapy Assistant
  • Austin, TX
National Provider Identifier
1245742873
Registry record updated Nov 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
214820 Issued in TX
Practice address
2100 E Martin Luther King Jr Blvd
Austin, TX 78702-1342
Phone
(512) 900-7934
NPI assigned
Nov 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 214820 TX Primary

Addresses

Primary practice location

2100 E Martin Luther King Jr Blvd
Austin, TX 78702-1342

Mailing address

2100 E Martin Luther King Jr Blvd
Austin, TX 78702-1342
Phone (512) 900-7934

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

LicenseStateTypeSpecialty
214820TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sonrisas Therapies- Pediatric Home and Healthcare Services, LLC. Past Accepting new patients

Organizations & group practices 1

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": "1509840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509840000000",
    "number": "1245742873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E MARTIN LUTHER KING JR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787021342",
            "telephone_number": "512-900-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E MARTIN LUTHER KING JR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787021342",
            "telephone_number": "512-900-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAYOA",
        "first_name": "SANDRA",
        "middle_name": "MELISSA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-05",
        "last_updated": "2017-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "214820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2017; 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.