Active NPI
Samuel Haile
- Occupational Therapist
- Springfield, OH
National Provider Identifier
1740933878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT011833
- Practice address
- 404 E McCreight Ave
Springfield, OH 45503-3653 - Phone
- (937) 399-8311
- NPI assigned
- Jan 29, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT011833 | OH | Primary |
Addresses
Primary practice location
404 E McCreight Ave
Springfield, OH 45503-3653
Mailing address
6511 Nova Dr # 237
Davie, FL 33317-7401
Phone (240) 328-2733
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 |
|---|---|---|---|
| OT011833 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643414400000",
"number": "1740933878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6511 NOVA DR # 237",
"city": "DAVIE",
"state": "FL",
"postal_code": "333177401",
"telephone_number": "240-328-2733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 E MCCREIGHT AVE",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455033653",
"telephone_number": "937-399-8311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAILE",
"first_name": "SAMUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-29",
"last_updated": "2022-01-29",
"certification_date": "2022-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT011833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.