Individual provider Active NPI

Samantha Darcy, OTD, OTR/L

  • Pediatric Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1922553767
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OTH-008164 Issued in AZ
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

Updated by the provider on Jun 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
OTH-008164AZMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wheels on the Bus Pediatric Therapy PastSince Jul 5, 2020 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.

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.

Verify at the official NPI Registry.