Megan Rose Samuelson, MSOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.013154 Issued in IL

Practice address

1035 Madison St
Oak Park, IL 60302-4449

Phone

(708) 848-7200

NPI assigned

Sep 3, 2019

Last updated

Sep 3, 2019By 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)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1336797323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 N SHEFFIELD AVE APT 2R",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144223",
            "telephone_number": "612-750-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 MADISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024449",
            "telephone_number": "708-848-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELSON",
        "first_name": "MEGAN",
        "middle_name": "ROSE",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.013154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline J Salozzo, RDN
• Leah B. Samler, PSY.D.
• Elizabeth Ann Samore, D.D.S.
• Francis Sampey, MS,CCC-SLP
• Shirly Susan Samuel, MD
• Claudette L Sanchez, M.A., CCC-SLP
• Javier Sanchez
• Tamra L Sanders, MSN, BSN, RN
• Marc Sandrolini, M.D.
• Sandstone Psychology Group LLC

• Occupational Therapist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.