Samantha Kari Hageman, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTH-007809 Issued in AZ

Practice address

10631 S 51St St Ste 8
Phoenix, AZ 85044-5225

Phone

(480) 398-4280

Fax

(844) 526-2649

NPI assigned

Jul 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Cholla Medical Group, Inc

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1154443422
  NPD
• Piller Child Development LLC

  • Pediatric Occupational Therapist
  • Phoenix, AZ
  • NPI 1497087621
  NPD
• Piller Child Development

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1396297099
  NPD (past)

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1417519745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412307",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412307",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10631 S 51ST ST STE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445225",
            "telephone_number": "480-398-4280",
            "fax_number": "844-526-2649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 S Country Club Dr Ste 20",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852106879",
            "country_code": "US",
            "telephone_number": "480-398-4280",
            "fax_number": "480-398-4281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41 Old Oyster Point Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236027177",
            "country_code": "US",
            "telephone_number": "757-223-1466",
            "fax_number": "757-233-1467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGEMAN",
        "first_name": "SAMANTHA",
        "middle_name": "KARI",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119009310",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-007809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonah Hagan, RBT
• Raquel Hagar
• Liam O Hagarty, BCBA
• Tracey Luanne Hage, PHARM.D
• Karine Hageboutros, PSYD
• Beth Ann Hagen, LICSW
• Diane Hagen, PHARM.D
• Nancy Hagener, PSYD
• Tarina Joan Hager, LMSW
• Eric Hagg

• Occupational Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.