Samantha C Whiting, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-769 Issued in ID

Practice address

2200 Ironwood PL
Coeur D Alene, ID 83814-2610

Phone

(208) 667-6486

NPI assigned

Jul 5, 2007

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sensory Squad OT LLC

  • Occupational Therapist
  • Hayden, ID
  • NPI 1669009965
  NPD Authorized official
• Physical Therapy & Sports Medicine Institute Inc

  • Physical Therapist
  • Coeur D Alene, ID
  • NPI 1184717696
  NPD (past)

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1861690307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11388 N CATTLE DR",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 IRONWOOD PL",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142610",
            "telephone_number": "208-667-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITING",
        "first_name": "SAMANTHA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul S White, MD
• Rachel Janee White, APRN
• Tracey Lynn White, LCSW
• Michael Anthony Whiting, PT
• Michael David Whiting, M.D.
• Theresa Whitlock-Wild
• Gloria Louise Whitman, LMP
• Shaun Michael Whitney, D.D.S.
• Kathleen Widmyer, RPH
• Lynn Wierdsma, PSY.D.

• Occupational Therapist in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.