Samantha T Carlson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT007818 Issued in GA

Practice address

817 Crawford Ave
Augusta, GA 30904-3772

Phone

(706) 736-1255

NPI assigned

Aug 11, 2020

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

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neuro-Developmental Treatment Programs, Inc.

  • Occupational Therapist
  • Augusta, GA
  • NPI 1417924036
  Medicare reassignment NPD
• Apparo Academy, Inc.

  • Speech-Language Pathologist
  • Augusta, GA
  • NPI 1811457831
  NPD (past)

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1316558786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 LEE ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044834",
            "telephone_number": "347-452-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 CRAWFORD AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309043772",
            "telephone_number": "706-736-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "SAMANTHA",
        "middle_name": "T",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Carlie, BA
• Quaniqua Carlie, COO
• Erin Carlisle
• Daniel Joseph Carlon Jr., D.M.D.
• Chris Charles Carlson, M.D.
• Jenevieve Dion Carmichael, FNP
• Stephanie Nicole Carmichael, DO
• Michelle Walker Carnes I, APRN, CNS
• Kathryn P Carney, PA-C
• Carolyn S. Metheny, LLC

• Occupational Therapist in Augusta, GA
• Providers in Augusta, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.