Individual provider Active NPI

Samantha Callyn Becker, OT

  • Occupational Therapist
  • Leonardtown, MD
National Provider Identifier
1619376159
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
06189 Issued in MD
Practice address
41680 Miss Bessie Dr
Suite 103
Leonardtown, MD 20650-2906
Phone
(240) 256-3711
Fax
(240) 256-3612
NPI assigned
Aug 21, 2014
Last updated
Aug 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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 06189 MD Primary

Addresses

Primary practice location

41680 Miss Bessie Dr
Suite 103
Leonardtown, MD 20650-2906

Mailing address

41680 Miss Bessie Dr
Suite 103
Leonardtown, MD 20650-2906
Phone (240) 256-3711

Other names 1

  • Ms. Samantha Callyn Burke Former name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sense-Ability, LLC Occupational Therapist Past Accepting new patients
Speak Well Solutions, LLC PastSince Aug 19, 2014 Accepting new patients

Organizations & group practices 2

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": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1619376159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41680 MISS BESSIE DR",
            "address_2": "SUITE 103",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502906",
            "telephone_number": "240-256-3711",
            "fax_number": "240-256-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41680 MISS BESSIE DR",
            "address_2": "SUITE 103",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502906",
            "telephone_number": "240-256-3711",
            "fax_number": "240-256-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "SAMANTHA",
        "middle_name": "CALLYN",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "06189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "BURKE",
            "middle_name": "CALLYN",
            "prefix": "MS.",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leonardtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.