Dominique Samuels

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

09421 Issued in MD

Practice address

6201 5TH St NW
Washington, DC 20011-1336

Phone

(202) 576-6156

NPI assigned

Mar 30, 2018

Reactivated

Sep 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Spot for Speech and Occupational Inc.

  • Occupational Therapist
  • Columbia, MD
  • NPI 1194387498
  NPD (past)
• The Children's Spot

  • Speech-Language Pathologist
  • Columbia, MD
  • NPI 1649617952

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1932604956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 1ST ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 5TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111336",
            "telephone_number": "202-576-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "DOMINIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "deactivation_date": "2021-09-08",
        "reactivation_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DC",
            "license": "OT210002224",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "09421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seblewongel H Samuel
• Twana D. Samuel, HHA
• Wubeshet Samuel, PHARMD
• Amber Samuels
• Caroline Samuels, M.D.
• Jemeka Samuels, LGSW
• Joanne Samuels, NP
• Lenia Samuels
• Noah Samuels, L.AC.
• Penny Samuels, LGSW

• Occupational Therapist in Washington, DC
• Providers in Washington, DC by specialty
• Occupational Therapist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.