Samantha Irene Sisto

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.015221 Issued in IL

Practice address

333 W Dundee Rd
Buffalo Grove, IL 60089-3545

Phone

(847) 777-8955

NPI assigned

Nov 23, 2022

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1245949775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 GOLDSBORO LN",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600142973",
            "telephone_number": "815-600-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893545",
            "telephone_number": "847-777-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISTO",
        "first_name": "SAMANTHA",
        "middle_name": "IRENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.015221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charissa Akia Simon, PHD
• Holly Robin Simon, MS CCC/SLP
• Michael J. Simon, D.M.D.
• Marina Simonoff, PHARMACIST
• Nicholas Sinclair, PHARMD
• Jerry Skogmo, LCPC
• Melinda Richter Skogmo, MSW, LCSW
• Stefan Michael Skoneczka, PT, DPT
• Lisa Slankard, RPH
• Charles Slavik, MD

• Occupational Therapist in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.

Verify at the official NPI Registry.