Active NPI
Samantha Darcy, OTD, OTR/L
- Pediatric Occupational Therapist
- Phoenix, AZ
National Provider Identifier
1922553767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OTH-008164
- Practice address
- 13835 N Tatum Blvd Ste 9429
Phoenix, AZ 85032-0413 - Phone
- (480) 242-5903
- NPI assigned
- Aug 22, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Pediatric Occupational Therapist | 225XP0200X | OTH-008164 | AZ | Primary |
Addresses
Primary practice location
13835 N Tatum Blvd Ste 9429
Phoenix, AZ 85032-0413
Mailing address
13835 N. Tatum Blvd Ste 9429
Phoenix, AZ 85032-5590
Phone (480) 242-5903
Other practice location 1
1 S Church Ave
suite 1200
Tucson, AZ 85701-1612
Phone (888) 880-9270
Other names 1
- Samantha Dail
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 |
|---|---|---|---|
| OTH-008164 | AZ | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheels on the Bus Pediatric Therapy | Past | Accepting new patients |
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.
-
- Developmental Disabilities Clinic/Center
- Phoenix, AZ
- NPI 1427488808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1922553767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13835 N. TATUM BLVD STE 9429",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850325590",
"telephone_number": "480-242-5903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13835 N TATUM BLVD STE 9429",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850320413",
"telephone_number": "480-242-5903"
}
],
"practiceLocations": [
{
"address_1": "1 S Church Ave",
"address_2": "suite 1200",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857011612",
"country_code": "US",
"telephone_number": "888-880-9270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DARCY",
"first_name": "SAMANTHA",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-22",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AZ",
"license": "OTH-008164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "DAIL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.