Active NPI
Christopher Samples
- Occupational Therapy Assistant
- Hurst, TX
National Provider Identifier
1831594654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 212918
- Practice address
- 305 NE Loop 280;
Business Tower 1, Suite 200;
Hurst, TX 76053 - Phone
- (817) 292-8778
- Fax
- (817) 789-6849
- NPI assigned
- Oct 23, 2014
- Last updated
- Oct 23, 2014
- Sex
- Male
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | 212918 | TX | Primary |
Addresses
Primary practice location
305 NE Loop 280;
Business Tower 1, Suite 200;
Hurst, TX 76053
Mailing address
6450 Peak View CT
Midlothian, TX 76065-5886
Phone (972) 825-3175
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 |
|---|---|---|---|
| 212918 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414022400000",
"number": "1831594654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6450 PEAK VIEW CT",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760655886",
"telephone_number": "972-825-3175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 NE LOOP 280;",
"address_2": "BUSINESS TOWER 1, SUITE 200;",
"city": "HURST",
"state": "TX",
"postal_code": "76053",
"telephone_number": "817-292-8778",
"fax_number": "817-789-6849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPLES",
"first_name": "CHRISTOPHER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-23",
"last_updated": "2014-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "212918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.