Samantha K Haggard, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

028177 Issued in NY

Practice address

15 Catherwood Rd
Ithaca, NY 14850-1071

Phone

(607) 227-4421

NPI assigned

Aug 16, 2023

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 names 1

• Samantha K Reed Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Full Spectrum Occupational TherapyGroup PAC ID 4789074188, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Full Spectrum Occupational Therapy

  • Occupational Therapist
  • Ithaca, NY
  • NPI 1750959904
  Medicare reassignment Care Compare group NPD
• Full Spectrum Rehabilitation and Wellness, LLC

  • Occupational Therapist
  • Ithaca, NY
  • NPI 1508407768
  NPD

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1972386647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WINSTON CT APT 2",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501958",
            "telephone_number": "503-964-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CATHERWOOD RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501071",
            "telephone_number": "607-227-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGARD",
        "first_name": "SAMANTHA",
        "middle_name": "K",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "028177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "REED",
            "middle_name": "K",
            "credential": "OTD, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Marie Haas-Sulzer, LMSW
• Robert C Hackman, LAC
• Eve Mercer Hadley, M.S. CCC-SLP
• Amy E Haefner, PT
• Karen F Haesloop, FNP
• James Leonard Haines-Burnham, LCSW-R
• Elizabeth Ann Hales, N.P., PH.D.
• Alexandra Hall, M.D.
• Kari Beth Hall, M.S., CCC-SLP
• Suki Montgomery Hall, PH.D.

• Occupational Therapist in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.