Active NPI
Samantha Rothman
- Occupational Therapist
- Glendale, AZ
National Provider Identifier
1386164747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6020
- Practice address
- 18001 N 79TH Ave Ste A3
Glendale, AZ 85308-8389 - Phone
- (623) 979-5266
- NPI assigned
- Jun 26, 2017
- Last updated
- Jul 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6020 | AZ | Primary |
Addresses
Primary practice location
18001 N 79TH Ave Ste A3
Glendale, AZ 85308-8389
Mailing address
4140 N Central Ave Apt 3119
Phoenix, AZ 85012-1862
Phone (941) 276-6961
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6020 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Play and Purpose | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Phoenix, AZ
- NPI 1891456372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1386164747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 N CENTRAL AVE APT 3119",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850121862",
"telephone_number": "941-276-6961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18001 N 79TH AVE STE A3",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088389",
"telephone_number": "623-979-5266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHMAN",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-26",
"last_updated": "2022-07-21",
"certification_date": "2022-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "6020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.