Individual provider Active NPI

Samantha Lozano, COTA

  • Occupational Therapy Assistant
  • Lake Jackson, TX
National Provider Identifier
1649903550
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
205883 Issued in TX
Practice address
309 Plantation Dr
Lake Jackson, TX 77566-6142
Phone
(979) 418-7165
Fax
(800) 419-5153
NPI assigned
Jul 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 205883 TX Primary

Addresses

Primary practice location

309 Plantation Dr
Lake Jackson, TX 77566-6142

Mailing address

309 Plantation Dr
Lake Jackson, TX 77566-6142
Phone (979) 418-7165

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address officeassistant@angelleaf.net Angel Leaf Rehab and Consulting LLC

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
205883TXMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1649903550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 PLANTATION DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775666142",
            "telephone_number": "979-418-7165",
            "fax_number": "800-419-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 PLANTATION DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775666142",
            "telephone_number": "979-418-7165",
            "fax_number": "800-419-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZANO",
        "first_name": "SAMANTHA",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "205883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "officeassistant@angelleaf.net",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Angel Leaf Rehab and Consulting LLC",
            "address_1": "309 Plantation Dr",
            "city": "Lake Jackson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775666142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.