Active NPI
Samantha Massie
- Occupational Therapist
- Salisbury, MO
National Provider Identifier
1801295076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2013033222
- Practice address
- 1117 S Baker Ave
Salisbury, MO 65281-1237 - Phone
- (660) 414-7305
- NPI assigned
- Aug 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 2013033222 | MO | Primary |
Addresses
Primary practice location
1117 S Baker Ave
Salisbury, MO 65281-1237
Mailing address
1117 S Baker Ave
Salisbury, MO 65281-1237
Phone (660) 414-7305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- University of Missouri, Columbia School of Medicine, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
604 E Birch Dr
Salisbury, MO 65281-1523
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013033222 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1801295076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 S BAKER AVE",
"city": "SALISBURY",
"state": "MO",
"postal_code": "652811237",
"telephone_number": "660-414-7305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 S BAKER AVE",
"city": "SALISBURY",
"state": "MO",
"postal_code": "652811237",
"telephone_number": "660-414-7305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSIE",
"first_name": "SAMANTHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-14",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2013033222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.