Samantha J Tokheim, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5002-27 Issued in WI

Practice address

6021 S Wakefield LN Apt 106
New Berlin, WI 53151-7960

Phone

(847) 650-5330

NPI assigned

Aug 9, 2013

Last updated

Aug 9, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha J Brunner Former name

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": "1376006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1255764544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 S WAKEFIELD LN APT 106",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531517960",
            "telephone_number": "847-650-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 S WAKEFIELD LN APT 106",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531517960",
            "telephone_number": "847-650-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOKHEIM",
        "first_name": "SAMANTHA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-09",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "5002-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "BRUNNER",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John W Thorpe, OD
• Amy Nicole Thrasher, D.O.
• Eleanor Arlene Tidball, LPC-IT
• Scott J Tilleson, D.O.
• Michelle Valentina Tocco, LPC
• Marko Tomich, PT
• James Toniolo, M.D.
• Lauren Torhorst, DNP, APRN, FNP-BC
• Roger Ven Torres, M.D.
• Lorena Tran, NP-C

• Occupational Therapy Assistant in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.