Samah Khan, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

25324 Issued in CA

Practice address

108 Circle Ridge Dr
Burr Ridge, IL 60527-8379

Phone

(630) 822-3707

NPI assigned

Aug 9, 2023

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Oasis Therapy Services LLC

  • Multi-Specialty Clinic/Center
  • Oshkosh, WI
  • NPI 1386381598

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1871276469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CIRCLE RIDGE DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605278379",
            "telephone_number": "630-822-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CIRCLE RIDGE DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605278379",
            "telephone_number": "630-822-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SAMAH",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "25324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jane Kelly, COTA
• Mouhammed Kelta, M.D
• Kerstin Blumhardt, PLLC
• Farisa Khan, P.T.
• Saleha Khan, M.D.
• King-Bruwaert House
• Jerome M Klafta, MD
• Peter A Klock, MD
• Jessica Klonoski-Paganis, LCSW
• Carla Renee Knapke

• Occupational Therapist in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.