Individual provider Active NPI

Samantha L Guyon, OTR/L

  • Occupational Therapist
  • Plymouth, MI
National Provider Identifier
1659951051
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
229 N Sheldon Rd
Plymouth, MI 48170-1524
Phone
(313) 278-4601
NPI assigned
Apr 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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 Primary

Addresses

Primary practice location

229 N Sheldon Rd
Plymouth, MI 48170-1524

Mailing address

2 Oakwood Park PLZ Ste 200
Castle Rock, CO 80104-1885
Phone (720) 788-7365

Other names 1

  • Samantha L Danielian Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210527003062 MI Practitioner - Occupational Therapist in Private Practice 2466851282 Reassigns benefits to 1 organization
I20230630000627 CO Practitioner - Occupational Therapist in Private Practice 2466851282 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dearborn Speech and Sensory Center, Inc Occupational Therapist CurrentSince May 11, 2021 Accepting new patients
Castle Rock Therapies, LLC Occupational Therapist CurrentSince Jun 1, 2023 Accepting new patients
Castle Rock Therapies, LLC PastSince Jun 1, 2023 Accepting new patients

Locations

4700 Castleton Way
Ste 300
Castle Rock, CO 80109
Phone (720) 788-7365

2 Oakwood Park Plz
Ste 200
Castle Rock, CO 80104
Phone (720) 788-7365

19284 Cottonwood Dr
Ste 203
Parker, CO 80138
Phone (720) 788-7365

229 N Sheldon Rd
Plymouth, MI 48170

44670 Ann Arbor Rd W
Ste 130
Plymouth, MI 48170
Phone (424) 295-8088

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1659951051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OAKWOOD PARK PLZ STE 200",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041885",
            "telephone_number": "720-788-7365",
            "fax_number": "720-294-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N SHELDON RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701524",
            "telephone_number": "313-278-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUYON",
        "first_name": "SAMANTHA",
        "middle_name": "L",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "DANIELIAN",
            "middle_name": "L",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.