Samantha Lulo, OTR/L, MS
Individual provider Active NPI Pediatric Occupational Therapist · Thiells, NY
NPI 1962005454 · NPPES record last updated Nov 18, 2020
Key facts
- NPI
- 1962005454
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 025176-01 (NY)
- Practice address
- 7 Jacobs Rd
Thiells, NY 10984-1624 - Phone
- (845) 537-7017
- NPI assigned
- Nov 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Homeside Rehab PT OT SLP LLC
Practice addresses (Care Compare)
441 Route 306
Suite 2
Monsey, NY 10952-1234
Phone (718) 377-5000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241002002242 | NY | Practitioner - Occupational Therapist in Private Practice | 3072044940 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025176-01 | NY | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Homeside Rehab, PT, OT, SLP LLC | Current |
Accepting new patients |
Locations
441 Route 306
Ste 2
Monsey, NY 10952
Phone (201) 952-4436
296 Route 59
Ste 1225
Suffern, NY 10901
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 025176-01 | NY | Yes |
Addresses
Primary practice location
7 Jacobs Rd
Thiells, NY 10984-1624
Mailing address
7 Jacobs Rd
Thiells, NY 10984-1624
Phone (845) 537-7017
Other providers in Thiells, NY
- Vijay Hirendra Jhaveri
- Eunide Joseph
- Chana Rivka Lerner
- Maria Lewin
- Thelma B Llorente-Farooq
- Carmen M. Martinez
- Lindsey Meade
- Diane Mendez
- Milestones Integrated Services O.T., P.T., R.N., S.L.P.
- Milestones Licensed Behavior Analyst PLLC
All providers in Thiells, NY · Pediatric Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.