Active NPI
Samantha G Boyett, OTA
- Occupational Therapy Assistant
- Minneola, FL
National Provider Identifier
1992062780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA11516
- Practice address
- 405 S Seminole Ave
Minneola, FL 34715-5520 - Phone
- (352) 394-0212
- Fax
- (353) 241-6361
- NPI assigned
- Apr 18, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA11516 | FL | Primary |
Addresses
Primary practice location
405 S Seminole Ave
Minneola, FL 34715-5520
Mailing address
PO Box 120547
Clermont, FL 34712-0547
Phone (352) 394-0212
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 |
|---|---|---|---|
| OTA11516 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1992062780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 120547",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347120547",
"telephone_number": "352-394-0212",
"fax_number": "352-241-6361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 S SEMINOLE AVE",
"city": "MINNEOLA",
"state": "FL",
"postal_code": "347155520",
"telephone_number": "352-394-0212",
"fax_number": "353-241-6361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYETT",
"first_name": "SAMANTHA",
"middle_name": "G",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-18",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA11516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.