Matthew James Samson, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA002909 Issued in GA

Practice address

905 Arrowhead TRL
Warner Robins, GA 31088-5390

Phone

(478) 333-6363

NPI assigned

Nov 14, 2024

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

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.

• Senseabilities, Inc.

  • Case Management Agency
  • Warner Robins, GA
  • NPI 1326395450
  NPD

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1396569448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SOUTHLAND STATION DR APT 71",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883259",
            "telephone_number": "478-342-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 ARROWHEAD TRL",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885390",
            "telephone_number": "478-333-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA002909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Maria Salas Sola, MD
• Stacey Salley, LPC
• Susan Sammons
• Lyquita Denise Sampon
• John C Sams, MD
• Laprecious Monaya Sanders, RN
• Shanika Johnine Sanders, MPT
• Tiffany Kristina Santiago, MD
• Joseph Melvin Sapp, PT
• Mary Carmen Sapp, DENTAL HYGIENIST

• Occupational Therapy Assistant in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.