Samantha Gruen, MS

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

18841 Issued in CA

Practice address

2625 Townsgate Rd Ste 102
Westlake Village, CA 91361-5726

Phone

(805) 413-3009

NPI assigned

Feb 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1851045025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 HAZELTINE AVE APT 1",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232821",
            "telephone_number": "818-371-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 TOWNSGATE RD STE 102",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615726",
            "telephone_number": "805-413-3009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4540 Hazeltine Ave Apt 1",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914232821",
            "country_code": "US",
            "telephone_number": "818-371-8320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUEN",
        "first_name": "SAMANTHA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "18841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Griffin
• Griswold Home Care for Greater Thousand Oaks
• Patricia Casey Groesbeck, PT
• Michelle Carol Gross, MA, MFT
• Grow ABA
• GS Laboratories, Inc
• Susan Guajardo, RN-REGISTERED NURSE
• Gilen Guenther, DPT
• Meagan Marie Guenther, LEP
• Andrea Natalia Guerra

• Pediatric Occupational Therapist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.