Samantha Gibson Koelmel, OTR, OTD, MS

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31006914A Issued in IN

Practice address

118 Medical Dr
Carmel, IN 46032-3323

Phone

(317) 843-4590

Fax

(317) 200-3966

NPI assigned

Jul 11, 2022

Last updated

Jul 11, 2022By the provider in NPPES

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

Other names 1

• Samantha Gibson Farmer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1467186916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6867 FLICK DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462379180",
            "telephone_number": "260-438-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MEDICAL DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323323",
            "telephone_number": "317-843-4590",
            "fax_number": "317-200-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOELMEL",
        "first_name": "SAMANTHA",
        "middle_name": "GIBSON",
        "credential": "OTR, OTD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31006914A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "FARMER",
            "middle_name": "GIBSON",
            "credential": "OTR, OTD, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lachelle Knox
• Katherine T Kobza, MD
• Sarah Koch
• Julie Kocher
• Brittany Taylor Kocoj, NP
• Mary Koger, SLP
• Ryan Koger
• Melissa D Koliha, PA
• Erin V Kollada, CCC-SLP
• Rebecca Kominsky, PHD

• Occupational Therapist in Carmel, IN
• Providers in Carmel, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.