Active NPI
Holly E Sampsell, COTA/L
- Occupational Therapy Assistant
- Sandusky, OH
National Provider Identifier
1427478155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA.04490
- Practice address
- 1210 E Bogart Rd
Sandusky, OH 44870-6411 - Phone
- (419) 627-3900
- Fax
- (419) 627-3999
- NPI assigned
- Apr 21, 2014
- 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 Therapy Assistant | 224Z00000X | OTA.04490 | OH | Primary |
Addresses
Primary practice location
1210 E Bogart Rd
Sandusky, OH 44870-6411
Mailing address
1210 E Bogart Rd
Sandusky, OH 44870-6411
Phone (419) 627-3900
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA.04490 | OH | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1427478155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 E BOGART RD",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448706411",
"telephone_number": "419-627-3900",
"fax_number": "419-627-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 E BOGART RD",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448706411",
"telephone_number": "419-627-3900",
"fax_number": "419-627-3999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPSELL",
"first_name": "HOLLY",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-21",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OH",
"license": "OTA.04490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandusky, OH
- Ahmad Firas Sabbagh, MD
- Brian Timothy Sabo, DPT
- Richard Daniel Ramon Salazar, RN, BSN
- Teresa Ann Salisbury, LSW
- Sam's Club Optical (Sam's Club Optical 30-4962)
- Sams East Inc (Sams Pharmacy 10-4962)
- Christine M Samsa, D.O.
- Jacklyn Samuels, LPC
- Isabel Leigh-Ann Sanchez, CDCA
- Sandusky Artisans Cooperative
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.