Samantha Lynn Vogt, OTL/R

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

172305 Issued in KY

Practice address

194 Gray Hawk Dr
Shelbyville, KY 40065-7349

Phone

(502) 544-5378

NPI assigned

Jan 15, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515974400000",
    "number": "1851809685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 GRAY HAWK DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400657349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 GRAY HAWK DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400657349",
            "telephone_number": "502-544-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGT",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "credential": "OTL/R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KY",
            "license": "172305",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "172305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viemed Clinical Services, LLC
• Triana Villafranca
• Elizabeth Kristen Vincent
• Darrin James Violi, DMD
• John Colin Vogler, MS, BCBA, LBA
• Kathy Jude Vost, PTA
• Emily Ann Waits, R.D., L.D.
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Ronald E Waldridge Sr., MD

• Occupational Therapist in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.