Individual provider Active NPI

Samantha Catherine Grimsley, OTR/L

  • Occupational Therapist
  • Sioux Falls, SD
National Provider Identifier
1427667971
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
002439 Issued in IA
Practice address
1000 N West Ave Ste 210
Sioux Falls, SD 57104-1314
Phone
(605) 231-2490
NPI assigned
Jul 29, 2020
Last updated
Jul 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 002439 IA Primary

Addresses

Primary practice location

1000 N West Ave Ste 210
Sioux Falls, SD 57104-1314

Mailing address

4612 Deer Shadow TRL
Sioux City, IA 51106-9729
Phone (605) 660-4188

Other names 1

  • Samantha Catherine Haukaas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200818002499 IA Practitioner - Occupational Therapist in Private Practice 7315363553 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Asl LLCGroup PAC ID 3476969387, 80 clinicians

Practice addresses (Care Compare)

2210 Ave H
Fort Madison, IA 52627-4003
Phone (319) 219-5963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Asl, LLC Occupational Therapist CurrentSince Aug 6, 2025 Accepting new patients
Empowerme Asl, LLC CurrentSince Aug 6, 2025 Accepting new patients
Goodcare Athome Rehab, LLC Occupational Therapist CurrentSince Aug 17, 2020 Accepting new patients
Blue Stone Therapy Inc. CurrentSince Apr 1, 2025 Accepting new patients

Locations

2609 Nicklaus Blvd
Sioux City, IA 51106
Phone (712) 248-1720

2830 100th St
Ste 100
Urbandale, IA 50322
Phone (515) 537-4770

909 Ashworth Rd
Ste 1A
West Des Moines, IA 50265

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6765

1000 N West Ave
Ste 210
Sioux Falls, SD 57104
Phone (605) 403-0933

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1427667971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 DEER SHADOW TRL",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511069729",
            "telephone_number": "605-660-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N WEST AVE STE 210",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571041314",
            "telephone_number": "605-231-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMSLEY",
        "first_name": "SAMANTHA",
        "middle_name": "CATHERINE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "002439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "HAUKAAS",
            "middle_name": "CATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.