Alisha Samuel

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

025765 Issued in NY

Practice address

1909 Longfellow Avenue
New York, NY 10460

Phone

(347) 497-3998

NPI assigned

Aug 2, 2021

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": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1336813690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 POCANTICO RIVER RD",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "10570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 LONGFELLOW AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10460",
            "telephone_number": "347-497-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "ALISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "025765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel C Klagsbrun, MD, PC
• Samuel Franco Movement and Performance LLC
• Samuel Grubman M.D.,P.C.
• Samuel L. Sharmat M.D, P.C.
• Samuel V Dunkell MD PC
• Allison Samuel
• Benjamin James Samuel, MD
• Diana Samuel, M.D.
• Earnest Samuel, P.T.
• Heidi Samuel, AGACNP-BC, OCN

• Occupational Therapist in New York, NY
• Providers in New York, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.