Samantha L Robertson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

028641-01 Issued in NY

Practice address

723 7TH St
West Babylon, NY 11704-4203

Phone

(631) 316-3680

NPI assigned

Nov 22, 2023

Sex

Female

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

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.

• Family of Kidz

  • Specialist
  • Westbury, NY
  • NPI 1760313282
  NPD (past)
• Kidz Psychological Services PLLC

  • Clinical Psychologist
  • Garden City, NY
  • NPI 1487326716
  NPD (past)

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1417722059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 7TH ST",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117044203",
            "telephone_number": "631-316-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 7TH ST",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117044203",
            "telephone_number": "631-316-3680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "887 Kellum St",
            "address_purpose": "LOCATION",
            "city": "Lindenhurst",
            "state": "NY",
            "postal_code": "117571508",
            "country_code": "US",
            "telephone_number": "631-884-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "SAMANTHA",
        "middle_name": "L",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "028641-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Leigh Rivera, MS, CCC-SLP
• Keisha Nicole Rivers
• Laura A Rizzi, PA
• Genese Roberson
• Joy Roberts, LCSW
• Francisco Michael Rodrigues, PHARM D.
• Chris Romanger
• Carissa J Romano, R-PAC
• Michelle Rosenberg
• Royal Global Services

• Occupational Therapist in West Babylon, NY
• Providers in West Babylon, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.