Jo Ellen Tennyson-Samson, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2254 Issued in CA

Practice address

3031 N Main St
Soquel, CA 95073-2204

Phone

(831) 458-6230

NPI assigned

Oct 3, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Hand Therapy Specialists Inc

  • Hand Occupational Therapist
  • Watsonville, CA
  • NPI 1689332546
  Medicare reassignment NPD Authorized official
• Precision Physical Therapy & Fitness

  • Physical Therapist
  • Santa Cruz, CA
  • NPI 1639534225
  Medicare reassignment NPD
• Svmhs Clinics

  • Multi-Specialty Clinic/Center
  • Salinas, CA
  • NPI 1093158347
  Medicare reassignment NPD
• Svmhs Clinics

  • Physical Therapist
  • Salinas, CA
  • NPI 1518486893
  NPD
• Humboldt Hand and Foot Therapy

  • Occupational Therapist
  • Eureka, CA
  • NPI 1891711271
  NPD (past)
• Lancelot O Alexander MD a Medical Corporation

  • Specialist
  • Salinas, CA
  • NPI 1134279532
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1942394838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1758",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950101758",
            "telephone_number": "831-531-8277",
            "fax_number": "831-576-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 N MAIN ST",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732204",
            "telephone_number": "831-458-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNYSON-SAMSON",
        "first_name": "JO",
        "middle_name": "ELLEN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT2254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09052006467538",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susannah Lee Lac, Inc
• Shauna Sutton
• Deborah Ann Syren-Vitullo, PH.D.
• Olivia Jennifer Tecce, PA-C
• Teen Kitchen Project
• Laura A Terrazas, RD
• Christy Texeira-Smith, LCSW
• The Osteopathic Way, P.C
• Peter Thibodeau, D.C.
• Third Wave ABA LLC

• Occupational Therapist in Soquel, CA
• Providers in Soquel, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.