Active NPI
Samantha Hagge, OT
- Occupational Therapist
- Papillion, NE
National Provider Identifier
1346549474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1895
- Practice address
- 10601 S 72ND St
Ste. 103
Papillion, NE 68046-3407 - Phone
- (402) 932-2782
- Fax
- (402) 932-2705
- NPI assigned
- Mar 15, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 1895 | NE | |
| Occupational Therapist | 225X00000X | 1895 | NE | Primary |
Addresses
Primary practice location
10601 S 72ND St
Ste. 103
Papillion, NE 68046-3407
Mailing address
10601 S 72ND St
Ste. 103
Papillion, NE 68046-3407
Phone (402) 932-2782
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 |
|---|---|---|---|
| 1895 | NE | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Center | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438214400000",
"number": "1346549474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10601 S 72ND ST",
"address_2": "STE. 103",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680463407",
"telephone_number": "402-932-2782",
"fax_number": "402-932-2705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10601 S 72ND ST",
"address_2": "STE. 103",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680463407",
"telephone_number": "402-932-2782",
"fax_number": "402-932-2705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGGE",
"first_name": "SAMANTHA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-15",
"last_updated": "2015-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NE",
"license": "1895",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Papillion, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.