Samantha Elizabeth Henninger

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

11914 Il-59
Suite 134
Plainfield, IL 60585

Phone

(630) 381-0496

NPI assigned

Oct 10, 2022

Sex

Female

Sole proprietor

Yes

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

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.

• Kidsconnect Pediatric Therapy, PLLC

  • Pediatric Occupational Therapist
  • Oak Park, IL
  • NPI 1770165896

  Pediatrics

  NPD (past)
• Westside Childrens Therapy

  • Physical Therapist
  • Joliet, IL
  • NPI 1972783900
  NPD (past)

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1467177709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11914 S ROUTE 59 STE 134",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605855110",
            "telephone_number": "815-469-1500",
            "fax_number": "815-676-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11914 IL-59",
            "address_2": "SUITE 134",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "60585",
            "telephone_number": "630-381-0496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1144 Lake St Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603011043",
            "country_code": "US",
            "telephone_number": "708-763-9582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNINGER",
        "first_name": "SAMANTHA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2023-09-05",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hadeel Samih Hejja, BCBA
• Sydney Ann Hellmann, PT, DPT
• Sandra Henderson, LCPC
• Scott D Hendrickson, L.C.P.C
• Karen J Hennessey, ATC
• Kimberly Hensley
• Mary Alice Hensley, NP
• Morgan Hensley, OTR/L
• Here Comes the Sun, LLC
• Heritage Counseling Center

• Pediatric Occupational Therapist in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.