Active NPI
Samantha Ann Kimmel
- Occupational Therapist
- Franklin Square, NY
National Provider Identifier
1336043777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 163 New Hyde Park Rd
Franklin Square, NY 11010-3045 - Phone
- (516) 616-1111
- NPI assigned
- Oct 7, 2026
- Last updated
- Oct 7, 2026
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225X00000X | NU | Primary |
Addresses
Primary practice location
163 New Hyde Park Rd
Franklin Square, NY 11010-3045
Mailing address
46 Roosevelt Ave Apt B
East Northport, NY 11731-1151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791331200000",
"number": "1336043777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 ROOSEVELT AVE APT B",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117311151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 NEW HYDE PARK RD",
"city": "FRANKLIN SQUARE",
"state": "NY",
"postal_code": "110103045",
"telephone_number": "516-616-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMMEL",
"first_name": "SAMANTHA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-07",
"last_updated": "2026-10-07",
"certification_date": "2026-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin Square, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.