Samantha Black, OTR/L, ATP

Primary specialty

Assistive Technology Practitioner Rehabilitation CounselorTaxonomy code 225CA2400X

Practice address

71 Orphanage Rd
Ft Mitchell, KY 41017-3006

Phone

(859) 500-3568

NPI assigned

Jul 25, 2022

Last updated

Jul 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1558097386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 ORPHANAGE RD",
            "city": "FT MITCHELL",
            "state": "KY",
            "postal_code": "410173006",
            "telephone_number": "859-500-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 ORPHANAGE RD",
            "city": "FT MITCHELL",
            "state": "KY",
            "postal_code": "410173006",
            "telephone_number": "859-500-3568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Gilbert Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452061211",
            "country_code": "US",
            "telephone_number": "513-500-3568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "SAMANTHA",
        "credential": "OTR/L, ATP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225CA2400X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beechwood Board of Education
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• Kaitlyn Bell
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• Benchmark Physical Therapy of Ky LLC
• Samantha Ann Blanke, OD
• Jeffrey J Blau, MD
• Jennifer Blincoe, DMD
• Randall Todd Blincoe, DMD
• Tyler Blincoe, DMD

• Rehabilitation Counselor in Ft Mitchell, KY
• Providers in Ft Mitchell, KY by specialty
• Rehabilitation Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.