Active NPI
Samuel Lewis, OTR/L
- Occupational Therapist
- Dover, NH
National Provider Identifier
1972201200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- EL594
- Practice address
- 40 Chestnut St Ste 3
Dover, NH 03820-3335 - Phone
- (603) 969-3055
- NPI assigned
- Feb 16, 2023
- Sex
- Male
- Sole proprietor
- No
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTL13354 | MA | MD | Occupational Therapist |
| EL594 | NH | MD | Occupational Therapist |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTL13354 | MA | |
| Occupational Therapist | 225X00000X | EL594 | NH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
40 Chestnut St Ste 3
Dover, NH 03820-3335
Mailing address
13 Austin Dr
Dover, NH 03820-4538
Phone (603) 969-3055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 16, 2023.
{
"created_epoch": "1676505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1972201200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 AUSTIN DR",
"city": "DOVER",
"state": "NH",
"postal_code": "038204538",
"telephone_number": "603-969-3055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 CHESTNUT ST STE 3",
"city": "DOVER",
"state": "NH",
"postal_code": "038203335",
"telephone_number": "603-969-3055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "SAMUEL",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-16",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "OTL13354",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "EL594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.