Active NPI
Samantha Lee Cohn, OTA
- Occupational Therapy Assistant
- Lakeland, FL
National Provider Identifier
1427606037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 12243
- Practice address
- 610 E Bella Vista St
Lakeland, FL 33805-3008 - Phone
- (863) 688-8591
- NPI assigned
- Aug 27, 2019
- Last updated
- Oct 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5022 | AL | |
| Occupational Therapy Assistant | 224Z00000X | 12243 | FL | Primary |
Addresses
Primary practice location
610 E Bella Vista St
Lakeland, FL 33805-3008
Mailing address
1287 38TH St NW
Winter Haven, FL 33881-2256
Phone (407) 230-7724
Other practice location 1
280 Mt Hebron Rd
Elmore, AL 36025-1526
Phone (334) 567-8484
Other names 1
- Ms. Samantha Lee Thomas
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | samantha.cohn@genesishcc.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 5022 | AL | MD | Dental Hygienist |
| 12243 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1427606037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1287 38TH ST NW",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338812256",
"telephone_number": "407-230-7724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 E BELLA VISTA ST",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053008",
"telephone_number": "863-688-8591"
}
],
"practiceLocations": [
{
"address_1": "280 Mt Hebron Rd",
"address_purpose": "LOCATION",
"city": "Elmore",
"state": "AL",
"postal_code": "360251526",
"country_code": "US",
"telephone_number": "334-567-8484",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COHN",
"first_name": "SAMANTHA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "OTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-27",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": "AL",
"license": "5022",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "12243",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "samantha.cohn@genesishcc.com",
"affiliation": "N",
"endpointDescription": "e-mail",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "280 Mt Hebron Rd",
"city": "Elmore",
"state": "AL",
"country_code": "US",
"postal_code": "360251526",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "THOMAS",
"middle_name": "LEE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.