Samantha Black, OTR/L, ATP
Individual provider Active NPI Assistive Technology Practitioner Rehabilitation Counselor · Ft Mitchell, KY
NPI 1558097386 · NPPES record last updated Jul 27, 2026
Key facts
- NPI
- 1558097386
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assistive Technology Practitioner Rehabilitation Counselor 225CA2400X
- Practice address
- 71 Orphanage Rd
Ft Mitchell, KY 41017-3006 - Phone
- (859) 500-3568
- NPI assigned
- Jul 25, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Assistive Technology Practitioner Rehabilitation Counselor | 225CA2400X | Yes |
Addresses
Primary practice location
71 Orphanage Rd
Ft Mitchell, KY 41017-3006
Mailing address
71 Orphanage Rd
Ft Mitchell, KY 41017-3006
Phone (859) 500-3568
Other practice location 1
2901 Gilbert Ave
Cincinnati, OH 45206-1211
Phone (513) 500-3568
Other providers in Ft Mitchell, KY
- Beechwood Board of Education
- Geoffrey B Bell
- Kaitlyn Bell
- Terri Belmer
- Benchmark Physical Therapy of Ky LLC
- Samantha Ann Blanke
- Jeffrey J Blau
- Jennifer Blincoe
- Randall Todd Blincoe
- Tyler Blincoe
All providers in Ft Mitchell, KY · Assistive Technology Practitioner Rehabilitation Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.