Sensory Connections Pediatric Occupational Therapy LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SENSORY CONNECTIONS PEDIATRIC OCCUPATIONAL THERAPY LLC

Practice address

134 E Collins Rd
Fort Wayne, IN 46825-5302

Phone

(260) 241-6879

Fax

(833) 656-3440

NPI assigned

Aug 22, 2019

Organization subpart

No

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

Authorized official

Name

Samantha Bartley, OTNPI 1306239561

Title

Owner

Phone

(260) 241-6879

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Bartley, OT

  • Pediatric Occupational Therapist
  • Fort Wayne, IN
  • NPI 1306239561
  Medicare reassignment NPD Authorized official
• Haley Graham, OTD

  • Occupational Therapist
  • Fort Wayne, IN
  • NPI 1326883356
  NPD
• Jennifer S Fisher, OT

  • Occupational Therapist
  • Fort Wayne, IN
  • NPI 1588362727
  NPD (past)

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1801443098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 E COLLINS RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255302",
            "telephone_number": "260-241-6879",
            "fax_number": "833-656-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 E COLLINS RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255302",
            "telephone_number": "260-241-6879",
            "fax_number": "833-656-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENSORY CONNECTIONS PEDIATRIC OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "BARTLEY",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-241-6879",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Elizabeth Selvia, BS, RBT
• Suzanne Semer, LPN
• Bethlehem Sene
• Zachary Senger, PHARMD
• Kelsey Sensibaugh
• Rudy Sepulveda
• Savannah Serban
• Brianna M Serbus, MD
• Serene Mental Health
• Brittany Elise Serovy, NURSE PRACTITIONER

• Clinic/Center in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.