National Provider Identifier
Samantha Nicole Ballou, OTR/L
Samantha Nicole Ballou, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Rochester, NY and a listed phone number of (585) 334-6000.
Profile Overview
- NPI
- 1457230500
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- September 01, 2025
- Last Updated
- September 01, 2025
Practice Location
- 3399 Winton RD S
- Rochester, NY 14623-3057
Phone: (585) 334-6000
Mailing Address
- 20 Skycrest Dr
- Rochester, NY 14616-1410
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1457230500
- Entity Type
- Individual
- Last Name
- Ballou
- First Name
- Samantha
- Middle Name
- Nicole
- Credential
- OTR/L
- Mailing Street Address
- 20 Skycrest Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14616-1410
- Mailing Country
- US
- Mailing Phone
- (585) 734-9737
- Practice Street Address
- 3399 Winton RD S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-3057
- Practice Country
- US
- Practice Phone
- (585) 334-6000
- Enumeration Date
- September 01, 2025
- Last Updated
- September 01, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 01, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)