Active NPI
Melanie Samson, OTR/L
- Occupational Therapist
- South Miami, FL
National Provider Identifier
1912654138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT22706
- Practice address
- 7800 SW 57TH Ave Ste 205
South Miami, FL 33143-5542 - Phone
- (305) 854-2471
- Fax
- (305) 854-0811
- NPI assigned
- Mar 8, 2022
- Last updated
- Mar 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | OT22706 | FL | Primary |
Addresses
Primary practice location
7800 SW 57TH Ave Ste 205
South Miami, FL 33143-5542
Mailing address
7800 SW 57TH Ave Ste 205
South Miami, FL 33143-5542
Phone (305) 854-2471
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | SouthMiami |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT22706 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Therapy Connection | Single Specialty | Current | Accepting new patients |
Locations
7800 SW 57th Ave
Ste 205
South Miami, FL 33143
Phone (305) 854-2471
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1912654138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7800 SW 57TH AVE STE 205",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435542",
"telephone_number": "305-854-2471",
"fax_number": "305-854-0811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 SW 57TH AVE STE 205",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435542",
"telephone_number": "305-854-2471",
"fax_number": "305-854-0811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMSON",
"first_name": "MELANIE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-08",
"last_updated": "2022-03-18",
"certification_date": "2022-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT22706",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "SouthMiami",
"affiliation": "N",
"address_1": "7800 SW 57th Ave Ste 205",
"city": "South Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331435542",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.