Samantha Donovan

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

011578-01 Issued in NY

Practice address

515 Moe Rd
Clifton Park, NY 12065-3821

Phone

(518) 280-4294

NPI assigned

Oct 2, 2024

Last updated

Oct 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Access Therapy Group PT OT SLP and Psychology Services PLLC

  • Physical Medicine & Rehabilitation Physician
  • Clifton Park, NY
  • NPI 1255641510
  NPD

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1932927431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DESSON AVE APT 1",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121805201",
            "telephone_number": "518-860-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MOE RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653821",
            "telephone_number": "518-280-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "011578-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Distance Therapies Occupational Therapy, PLLC (Saratoga Sensory Occupational Therapy)
• DME Help Inc
• Karen A Doherty-Wells, PA
• Anne Dolezal, BS, RN, IBCLC
• Kelsey Donohue, LCSW
• Jonathan Thomas Dore, PA-C
• Dorothy Lacombe Adult Healthcare Nurse Practitioner PLLC
• Dr Dunham Integrative Family Health NP PLLC
• Dr. Jeff Starr (All About Eyes)
• Amy Duclos, OTR

• Occupational Therapy Assistant in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.