Samantha Marie Fitzsimmons, OTR/L, MOT, CBIS

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

5201008292 Issued in MI

Practice address

25911 Middlebelt Rd
Farmington Hills, MI 48336-1402

Phone

(734) 837-2537

NPI assigned

Feb 23, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1255832432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44251 SHERIDAN ST",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25911 MIDDLEBELT RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361402",
            "telephone_number": "734-837-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZSIMMONS",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L, MOT, CBIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "MI",
            "license": "5201008292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tessa Fitzgerald
• Zachary Fitzgerald
• Christina Fitzpatrick
• Shane Fitzpatrick
• Madison Fitzsimmons
• Lani Fiu
• Fivestar Home Health Care Co
• Allexandrya Fix
• Hunter Fjerstad
• Emily Flaig, M.A., BCBA, LBA

• Neurorehabilitation Occupational Therapist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Neurorehabilitation Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.