Shannon Samples, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

211812 Issued in TX

Practice address

115 Overhill Dr
Waxahachie, TX 75165-1839

Phone

(972) 824-3980

NPI assigned

Aug 21, 2018

Last updated

Aug 21, 2018By 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

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": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1285114918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 OVERHILL DR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651839",
            "telephone_number": "972-824-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 OVERHILL DR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651839",
            "telephone_number": "972-824-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPLES",
        "first_name": "SHANNON",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "211812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S & J Waxahachie Pharmacy Inc
• Andrea Priscilla Saenz, DPT
• Robert Lee Saenz, L.P.C.
• Tanu Saini, PHARM D
• Susan L Sambell, PT
• Alejandro Sanchez
• Angela Marie Sanchez, LPC
• Aravind R Sanjeevaiah, M.D.
• Martha Santillan-Ibarra, LCSW
• Wendy Santos, MSN, APRN-CNP

• Occupational Therapy Assistant in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.