Individual provider Active NPI

Amber Samelwich, OTR/L

  • Occupational Therapist
  • Fairfield, CT
National Provider Identifier
1376922526
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4134 Issued in CT
Practice address
118 Jefferson St
Fairfield, CT 06825-1019
Phone
(203) 371-2706
NPI assigned
May 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4134 CT Primary

Addresses

Primary practice location

118 Jefferson St
Fairfield, CT 06825-1019

Mailing address

850 Silas Deane Hwy Ste 2
Wethersfield, CT 06109-3440
Phone (203) 641-3248

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1376922526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 SILAS DEANE HWY STE 2",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061093440",
            "telephone_number": "203-641-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 JEFFERSON ST",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068251019",
            "telephone_number": "203-371-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMELWICH",
        "first_name": "AMBER",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-20",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "4134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.