Samantha Berger, OTR/L, PAM

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17162 Issued in CA

Practice address

11840 S la Cienega Blvd
Hawthorne, CA 90250-3459

Phone

(424) 269-3400

Fax

(310) 882-5451

NPI assigned

Mar 15, 2017

Last updated

Dec 30, 2021By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1902347552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16500 VENTURA BLVD",
            "address_2": "414",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362011",
            "telephone_number": "818-788-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11840 S LA CIENEGA BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503459",
            "telephone_number": "424-269-3400",
            "fax_number": "310-882-5451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16500 Ventura Blvd",
            "address_2": "414",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914362011",
            "country_code": "US",
            "telephone_number": "818-788-1003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGER",
        "first_name": "SAMANTHA",
        "credential": "OTR/L, PAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "17162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.