Samantha Leigh Boldt, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

023370 Issued in NY

Practice address

360 E 50TH St Apt 3G
New York, NY 10022-7933

Phone

(914) 582-4691

NPI assigned

Apr 30, 2019

Last updated

Apr 30, 2019By 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

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": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1518521962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E 50TH ST APT 3G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100227933",
            "telephone_number": "914-582-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E 50TH ST APT 3G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100227933",
            "telephone_number": "914-582-4691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Boston Post Rd",
            "address_purpose": "LOCATION",
            "city": "Mamaroneck",
            "state": "NY",
            "postal_code": "105433328",
            "country_code": "US",
            "telephone_number": "914-220-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 Somerset Dr",
            "address_purpose": "LOCATION",
            "city": "Patterson",
            "state": "NY",
            "postal_code": "125632555",
            "country_code": "US",
            "telephone_number": "914-582-4691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W Boston Post Rd",
            "address_purpose": "LOCATION",
            "city": "Mamaroneck",
            "state": "NY",
            "postal_code": "105433328",
            "country_code": "US",
            "telephone_number": "914-220-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLDT",
        "first_name": "SAMANTHA",
        "middle_name": "LEIGH",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "023370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina Bolden, N.P.
• Wanda Ramona Bolden, LMHC
• Svetlana Boldin, BS
• Denise Bolds, MSW
• Harrison Robert Boldt, D.D.S.
• David Bole, M.D
• Madhav Bole, MD
• Olivia Anne Bolen, DPT
• Boleslav Kosharskyy, Medical Practice, P.C.
• Shawn P Boley, R.PH.

• Occupational Therapist in New York, NY
• Providers in New York, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.