Samantha M Schneider, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31007081A Issued in IN

Practice address

1003 Mill Pond Dr Ste C
Greencastle, IN 46135-2609

Phone

(765) 653-8494

Fax

(765) 653-7835

NPI assigned

Mar 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha M Memmer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1922632785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-1980",
            "fax_number": "630-928-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 MILL POND DR STE C",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461352609",
            "telephone_number": "765-653-8494",
            "fax_number": "765-653-7835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5604 W 74th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462781752",
            "country_code": "US",
            "telephone_number": "317-290-1551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "SAMANTHA",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31007081A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "MEMMER",
            "middle_name": "M",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandie Denise Ruark, FNP
• Kelly Marie Russ, MPA, RN
• Kimberly Salsman, LMHC
• Crystal Sanders, APRN, FNP-C
• Elizabeth Anne Scheidt, DMD
• Benjamin Scott, FNP
• Greg Allen Selvia
• Larry R Seybold, MS
• Ruth Marie Shalley, LCSW
• Jennifer D Sheffler, NP

• Occupational Therapist in Greencastle, IN
• Providers in Greencastle, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.