Active NPI
Carol Samantha Hall, OTR/L
- Occupational Therapist
- Greenwood Village, CO
National Provider Identifier
1881066629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.0004418
- Practice address
- 6535 S Dayton St
Greenwood Village, CO 80111 - Phone
- (303) 649-9007
- NPI assigned
- Oct 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT.0004418 | CO | Primary |
Addresses
Primary practice location
6535 S Dayton St
Greenwood Village, CO 80111
Mailing address
2909 Carleton St
San Diego, CA 92106-2713
Phone (303) 649-9007
Other names 1
- Carol Samantha Mitchell
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT.0004418 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1881066629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2909 CARLETON ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921062713",
"telephone_number": "303-649-9007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6535 S DAYTON ST",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "80111",
"telephone_number": "303-649-9007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "CAROL",
"middle_name": "SAMANTHA",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-20",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.0004418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "MITCHELL",
"middle_name": "SAMANTHA",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenwood Village, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.