SAMANTHA E NUSBAUM
NPI 1205216843
Occupational Therapist in San Diego, CA

Active since June 08, 2015
1281 9TH AVE UNIT 1312, SAN DIEGO, CA 92101(516) 316-1110 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha E Nusbaum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA E NUSBAUM (NPI 1205216843) is an individual occupational therapist in San Diego, California, licensed in California (14913) and active in the NPI registry since June 2015. She is a graduate of Other (2012).

NPPES Registry Identity

NPI1205216843
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameSAMANTHA E NUSBAUM
Location Address1281 9TH AVE UNIT 1312San Diego, CA 92101-4656
Mailing Address1281 9th Ave Unit 1312San Diego, CA 92101-4656 · (516) 316-1110
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 8, 2015
NPI 1205216843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in CA · 14913
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
1281 9TH AVE UNIT 1312, San Diego, CA 92101

Other Identifiers 1

Other14913CA · California Ot License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samantha E Nusbaum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496224990
PECOS Enrollment IDI20260514000369

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Nusbaum's NPI number?

The NPI number for Samantha Nusbaum is 1205216843. It was assigned to this individual provider in the NPPES registry on June 8, 2015.

Where is Samantha Nusbaum located?

Samantha Nusbaum practices at 1281 9th Ave Unit 1312, San Diego, CA 92101. The listed phone number is (516) 316-1110.

What is Samantha Nusbaum's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Samantha Nusbaum enrolled in Medicare?

Yes. Samantha Nusbaum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Nusbaum was last updated on June 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.