Active NPI
Kenneth Duane Sample Jr., COTA
- Occupational Therapy Assistant
- Chambersburg, PA
National Provider Identifier
1295623783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OP006262
- Practice address
- 1951 Warm Spring Rd
Chambersburg, PA 17202-9107 - Phone
- (717) 496-3603
- NPI assigned
- Jun 25, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OP006262 | PA | Primary |
Addresses
Primary practice location
1951 Warm Spring Rd
Chambersburg, PA 17202-9107
Mailing address
1951 Warm Spring Rd
Chambersburg, PA 17202-9107
Phone (717) 496-3603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP006262 | PA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1295623783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1951 WARM SPRING RD",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172029107",
"telephone_number": "717-496-3603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1951 WARM SPRING RD",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172029107",
"telephone_number": "717-496-3603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPLE",
"first_name": "KENNETH",
"middle_name": "DUANE",
"name_suffix": "Jr.",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-25",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "OP006262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chambersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.