Samantha Hofmeister, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OTR3828 Issued in AR

Practice address

13020 Frontage Rd Ste 105
Bentonville, AR 72712-5625

Phone

(479) 310-9107

NPI assigned

Nov 17, 2021

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Kaylee Luttrell Speech Pathology PLLC

  • Speech-Language Pathologist
  • Rogers, AR
  • NPI 1215420732

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722729600000",
    "number": "1891451514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 FRONTAGE RD STE 105",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 FRONTAGE RD STE 105",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125625",
            "telephone_number": "479-310-9107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13417 Aintree Ave",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840208887",
            "country_code": "US",
            "telephone_number": "801-335-4699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3086 W Milano Dr",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836467288",
            "country_code": "US",
            "telephone_number": "208-996-0552",
            "fax_number": "208-914-6597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFMEISTER",
        "first_name": "SAMANTHA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2024-08-04",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AR",
            "license": "OTR3828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790200202",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Hobbs
• Katherine M Hockman, LPC
• Emma Hodges
• Meredith C Hodges
• Lauren Olivia Hoffman
• Angela Holcomb, MHPP
• Holden Psychiatric Institute, PA
• Holden Psychiatric Institute, PA
• Adonia Holden-Dunivan, LPC
• Donnie Joe Holden, M.D.

• Pediatric Occupational Therapist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Pediatric Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2024; 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.