Active NPI
Samantha Salmon, OTR/L
- Pediatric Occupational Therapist
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 31008220A
- Practice address
- 3701 Bellemeade Ave
Evansville, IN 47714-0137 - Phone
- (124) 791-4118
- NPI assigned
- Oct 12, 2022
- Last updated
- Jul 22, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 7484 | TN | |
| Pediatric Occupational Therapist | 225XP0200X | 31008220A | IN | Primary |
Addresses
Primary practice location
3701 Bellemeade Ave
Evansville, IN 47714-0137
Mailing address
3701 Bellemeade Ave
Evansville, IN 47714-0137
Phone (812) 479-1411
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31008220A | IN | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwestern Behavioral Healthcare, Inc. | Current | Accepting new patients |
Locations
60 S Stockwell Rd
Evansville, IN 47714
Phone (812) 476-5437
414 SE 4th St
Ste 101
Evansville, IN 47713
Phone (812) 424-4880
415 Mulberry St
Evansville, IN 47713
Phone (812) 436-4232
4001 John St
Evansville, IN 47714
Phone (812) 473-3144
410 Mulberry St
Evansville, IN 47713
Phone (812) 421-7489
320 S 5th Ave
Princeton, IN 47670
Phone (812) 385-5275
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Evansville, IN
- NPI 1033108766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1952027963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 BELLEMEADE AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140137",
"telephone_number": "812-479-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 BELLEMEADE AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140137",
"telephone_number": "124-791-4118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALMON",
"first_name": "SAMANTHA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-12",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TN",
"license": "7484",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "IN",
"license": "31008220A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.