Individual provider Active NPI

Samantha Allison Pizzini, COTA/L

  • Occupational Therapist
  • Raleigh, NC
National Provider Identifier
1609391788
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
11184 Issued in NC
Practice address
615 Spring Forest Rd
Raleigh, NC 27609-9150
Phone
(919) 981-6100
NPI assigned
Aug 9, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 11184 NC Primary

Addresses

Primary practice location

615 Spring Forest Rd
Raleigh, NC 27609-9150

Mailing address

3411 Cotton Mill Dr Apt 106
Raleigh, NC 27612-5592
Phone (704) 998-7056

Other practice location 1

600 Newton Rd
Raleigh, NC 27615-6214
Phone (919) 848-4906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11184NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
BCC North Ridge Operations, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609391788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 COTTON MILL DR APT 106",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125592",
            "telephone_number": "704-998-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SPRING FOREST RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276099150",
            "telephone_number": "919-981-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Newton Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276156214",
            "country_code": "US",
            "telephone_number": "919-848-4906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIZZINI",
        "first_name": "SAMANTHA",
        "middle_name": "ALLISON",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "11184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.