Jennie Samuel, OTD, OTR/L

Primary specialty

Mental Health Occupational TherapistTaxonomy code 225XM0800X

License

06487 Issued in MD

Practice address

9300 Dewitt Loop
Fort Belvoir Community Hospital
Fort Belvoir, VA 22060

Phone

(571) 231-1211

NPI assigned

Apr 26, 2010

Last updated

May 1, 2015By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1609193051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 DEWITT LOOP",
            "address_2": "FORT BELVOIR COMMUNITY HOSPITAL",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "22060",
            "telephone_number": "571-231-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 DEWITT LOOP",
            "address_2": "FORT BELVOIR COMMUNITY HOSPITAL",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "22060",
            "telephone_number": "571-231-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "JENNIE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "MD",
            "license": "06487",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "MD",
            "license": "06487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Patricia Ryan, LCSW
• Teresa Kim Sakai
• Lindsey Rose Salis, CCC-SLP
• Ilyas Saloom, PMH-NP
• Pallavi Laxmi Samudrala, MD
• Rodolfo Gonzales San Juan, RN
• Terrel Sanders, M.D.
• Lisa D. Sandy, FNP
• Rachel E Sankey, APRN
• Charles Santos

• Mental Health Occupational Therapist in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• Mental Health Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.