Samantha Rae Bohn, COTA
Individual provider Active NPI Occupational Therapy Assistant · Eau Claire, WI
NPI 1770828634 · NPPES record last updated Aug 19, 2026
Key facts
- NPI
- 1770828634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 4787-27 (WI)
- Practice address
- 2442 Cassie CT Unit 4
Eau Claire, WI 54701-3218 - Phone
- (715) 225-9611
- NPI assigned
- Dec 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4787-27 | WI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 4787-27 | WI | Yes |
Addresses
Primary practice location
2442 Cassie CT Unit 4
Eau Claire, WI 54701-3218
Mailing address
2442 Cassie CT Unit 4
Eau Claire, WI 54701-3218
Phone (715) 225-9611
Other names
- Samantha Rae Bohn
Other providers in Eau Claire, WI
- Benjamin David Bogle
- Lauren Emily Bogumill
- Linda Kay Bohacek
- Jason Bohl
- Kathleen M Bohlinger
- Sarah Jean Bohn
- Ann T Bohrer
- Molly Bolks
- Brady Shaun Bollinger
- John T Bollinger
All providers in Eau Claire, WI · Occupational Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.