Timothy Samet

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057003485 Issued in IL

Practice address

1111 University Dr
Edwardsville, IL 62025-5589

Phone

(618) 692-2273

NPI assigned

May 17, 2021

Last updated

May 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1770157489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CHURCHILL CT",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253156",
            "telephone_number": "414-758-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 UNIVERSITY DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620255589",
            "telephone_number": "618-692-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMET",
        "first_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057003485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION LICENSE NUMBER",
            "identifier": "057003485",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothysamet@greystone.net",
            "affiliation": "N",
            "endpointDescription": "Work e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Work e-mail",
            "address_1": "1111 University Dr",
            "city": "Edwardsville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620255589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah Kate Ruesch
• Andrew Colin Russell, MD
• Ashlyn Russo
• Madison Kathleen Ruzicka, HIS
• Nicole Adraneda Ryan
• Faith Elizabeth Sanders
• Mary Ellen Sandrin, COTA
• Bradley Alen Sands
• Molly Santella, RN
• Rommel Santos, RPT

• Occupational Therapy Assistant in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.