Samantha Blimling, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057.005053 Issued in IL

Practice address

873 Grove St
Jacksonville, IL 62650-2828

Phone

(217) 479-3400

NPI assigned

Nov 7, 2018

Last updated

Nov 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1851869929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 MASSEY LN",
            "city": "MURRAYVILLE",
            "state": "IL",
            "postal_code": "626688166",
            "telephone_number": "217-490-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 GROVE ST",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626502828",
            "telephone_number": "217-479-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIMLING",
        "first_name": "SAMANTHA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.005053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Best Senior Care, Inc. (Home Instead Senior Care)
• Rebecca J Beyers, PT
• Nora A Bishop, LCPC
• Tyler Blair
• Amy Jo Blanford, PT
• Board of Trustees of Southern Illinois University (SIU Center for Family Medicine-Jacksonville)
• Board of Trustees of Southern Illinois University (Siu Center for Family Medicine-Jacksonville)
• James Anthony Bohan, M.D.
• Jeanine Kay Bohan, CERTIFIED NURSE PRAC
• Hilary L. Boyle, AU.D.

• Occupational Therapy Assistant in Jacksonville, IL
• Providers in Jacksonville, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.