Active NPI
Thea Samit, OTR
- Occupational Therapist
- New York, NY
National Provider Identifier
1629380340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 003816-1
- Practice address
- 4151 E. 11 St.
New York, NY 33009-1836 - Phone
- (732) 247-0161
- Fax
- (732) 247-2790
- NPI assigned
- Jul 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC04713000 | NJ | |
| Occupational Therapist | 225X00000X | 003816-1 | NY | Primary |
| Occupational Therapist | 225X00000X | OT 5124 | FL |
Addresses
Primary practice location
4151 E. 11 St.
New York, NY 33009-1836
Mailing address
308 Harrison Ave
Highland Park, NJ 08904-1836
Phone (732) 247-0161
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC04713000 | NJ | MD | Clinical Social Worker |
| OT 5124 | FL | MD | Occupational Therapist |
| 003816-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278720000000",
"number": "1629380340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 HARRISON AVE",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089041836",
"telephone_number": "732-247-0161",
"fax_number": "732-247-2790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4151 E. 11 ST.",
"city": "NEW YORK",
"state": "NY",
"postal_code": "330091836",
"telephone_number": "732-247-0161",
"fax_number": "732-247-2790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMIT",
"first_name": "THEA",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-10",
"last_updated": "2010-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC04713000",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "003816-1",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 5124",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.