National Provider Identifier
Samantha Grace Nelson
Samantha Grace Nelson is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Medina, NY and a listed phone number of (585) 798-2000.
Profile Overview
- NPI
- 1164192514
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- September 16, 2021
- Last Updated
- September 16, 2021
Practice Location
- 200 Ohio St
- Medina, NY 14103-1063
Phone: (585) 798-2000
Mailing Address
- 3213 Lower Mountain RD
- Sanborn, NY 14132-9427
Specialties
- Occupational Therapy Assistant (224Z00000X)
Endpoints
- url
Connect Url | Health Information Exchange (Hie) | Csv | Medina, NY 14103
Url
Full Record
- NPI
- 1164192514
- Entity Type
- Individual
- Last Name
- Nelson
- First Name
- Samantha
- Middle Name
- Grace
- Name Prefix
- MS.
- Mailing Street Address
- 3213 Lower Mountain RD
- Mailing City
- Sanborn
- Mailing State
- NY
- Mailing ZIP Code
- 14132-9427
- Mailing Country
- US
- Mailing Phone
- (716) 377-0053
- Practice Street Address
- 200 Ohio St
- Practice City
- Medina
- Practice State
- NY
- Practice ZIP Code
- 14103-1063
- Practice Country
- US
- Practice Phone
- (585) 798-2000
- Enumeration Date
- September 16, 2021
- Last Updated
- September 16, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 16, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)