Individual provider Active NPI

Samantha Downs

  • Occupational Therapist
  • Greenwood, IN
National Provider Identifier
1902633688
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
287689 Issued in KY
Practice address
124 Hawthorne LN
Greenwood, IN 46142-9430
Phone
(317) 864-2043
NPI assigned
Sep 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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 287689 KY Primary

Addresses

Primary practice location

124 Hawthorne LN
Greenwood, IN 46142-9430

Mailing address

124 Hawthorne LN
Greenwood, IN 46142-9430
Phone (317) 332-9861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241010003917 KY Practitioner - Occupational Therapist in Private Practice 1456883743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy on Wheels IncGroup PAC ID 1557659588, 9 clinicians

Practice addresses (Care Compare)

Richmond, KY 40475
Phone (317) 332-9861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
287689KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy on Wheels, Inc. CurrentSince Sep 17, 2024 Accepting new patients

Locations

212 N 2nd St
Ste 100
Richmond, KY 40475
Phone (317) 332-9861

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": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1902633688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 HAWTHORNE LN",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461429430",
            "telephone_number": "317-332-9861",
            "fax_number": "317-893-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 HAWTHORNE LN",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461429430",
            "telephone_number": "317-864-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNS",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "287689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.