Individual provider Active NPI

Samantha L Dimaio, OTR/L, CHT

  • Occupational Therapist
  • Lynbrook, NY
National Provider Identifier
1346609658
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
020308 Issued in NY
Practice address
444 Merrick Rd Ste 360
Lynbrook, NY 11563-2460
Phone
(516) 536-3800
Fax
(516) 536-4588
NPI assigned
Feb 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X
Occupational Therapist 225X00000X 020308 NY Primary

Addresses

Primary practice location

444 Merrick Rd Ste 360
Lynbrook, NY 11563-2460

Mailing address

1983 Marcus Ave Ste 119
New Hyde Park, NY 11042-1016
Phone (516) 536-3800

Other names 1

  • Samantha L Clemente Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160826001414 NY Practitioner - Occupational Therapist in Private Practice 3971898149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

44 Saint Marks PL
New York, NY 10003-8118
Phone (212) 529-5966

444 Merrick Rd
Suite 360
Lynbrook, NY 11563-2460
Phone (516) 536-3800

Merit-based Incentive Payment System (MIPS)

Final score
77.16 of 100Reported as group
Quality
70
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
020308NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Occupational Therapist CurrentSince Sep 14, 2020 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Occupational Therapist CurrentSince Sep 14, 2020 Accepting new patients
RB Physical and Occupational Therapy PLLC Occupational Therapist CurrentSince Mar 15, 2017 Accepting new patients
One on One Physical Therapy Services PLLC PastSince Mar 15, 2017 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

4010 Avenue U
Brooklyn, NY 11234
Phone (718) 692-1155

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

444 Merrick Rd
Ste 360
Lynbrook, NY 11563
Phone (516) 536-3800

1983 Marcus Ave
Ste 119
New Hyde Park, NY 11042
Phone (516) 321-7526

231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224

1351 Forest Ave
Staten Island, NY 10302
Phone (718) 390-0060

Organizations & group practices 4

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": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1346609658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE STE 119",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421016",
            "telephone_number": "516-536-3800",
            "fax_number": "516-536-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 MERRICK RD STE 360",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632460",
            "telephone_number": "516-536-3800",
            "fax_number": "516-536-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAIO",
        "first_name": "SAMANTHA",
        "middle_name": "L",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "020308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "CLEMENTE",
            "middle_name": "L",
            "credential": "OTR/L, CHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.