Individual provider Active NPI

Samantha Leingang, OTR/L

  • Occupational Therapist
  • Bismarck, ND
National Provider Identifier
1871120386
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1774 Issued in ND
Practice address
1138 N 3Rd St
Bismarck, ND 58501-3556
Phone
(701) 751-4115
Fax
(701) 223-1669
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1774 ND Primary

Addresses

Primary practice location

1138 N 3Rd St
Bismarck, ND 58501-3556

Mailing address

PO Box 2536
Bismarck, ND 58502-2536
Phone (701) 751-4115

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

LicenseStateTypeSpecialty
1774NDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Enrichment Garden CurrentSince Nov 5, 2023 Accepting new patients

Locations

1138 N 3rd St
Bismarck, ND 58501
Phone (701) 258-1569

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1871120386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2536",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585022536",
            "telephone_number": "701-751-4115",
            "fax_number": "701-223-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 N 3RD ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013556",
            "telephone_number": "701-751-4115",
            "fax_number": "701-223-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEINGANG",
        "first_name": "SAMANTHA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "1774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.