Samantha Kovacsik, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

10497 Issued in FL

Practice address

2401 NE 2ND St
Pompano Beach, FL 33062-4806

Phone

(954) 943-5100

NPI assigned

Sep 4, 2014

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1285035659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4013 N OCEAN DR",
            "address_2": "101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085953",
            "telephone_number": "954-609-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 NE 2ND ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624806",
            "telephone_number": "954-943-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACSIK",
        "first_name": "SAMANTHA",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "10497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapy Assistant in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.