Active NPI
Samantha Capezzuto, MOT, OTR/L
- Pediatric Occupational Therapist
- Rescue, CA
National Provider Identifier
1811458219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 19822
- Practice address
- 3498 Green Valley Rd
Rescue, CA 95672-9625 - Phone
- (530) 391-8670
- NPI assigned
- Mar 28, 2019
- Last updated
- Mar 28, 2019
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 19822 | CA | Primary |
Addresses
Primary practice location
3498 Green Valley Rd
Rescue, CA 95672-9625
Mailing address
7550 Folsom Auburn Rd Apt 1105
Folsom, CA 95630-1790
Phone (908) 283-4724
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 |
|---|---|---|---|
| 19822 | CA | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553731200000",
"number": "1811458219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7550 FOLSOM AUBURN RD APT 1105",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956301790",
"telephone_number": "908-283-4724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3498 GREEN VALLEY RD",
"city": "RESCUE",
"state": "CA",
"postal_code": "956729625",
"telephone_number": "530-391-8670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPEZZUTO",
"first_name": "SAMANTHA",
"credential": "MOT, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-28",
"last_updated": "2019-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "19822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rescue, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.