Samantha Nicole Ballou, OTR/L
Occupational Therapist in Rochester, NY. Individual provider (NPI-1).
NPI number1457230500
StatusActive
Last updated in NPPESSep 1, 2025
Details
- NPI
- 1457230500
- Entity type
- Individual (NPI-1)
- Name
- Samantha Nicole Ballou
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2025
- Certification date
- Sep 1, 2025
- Last updated
- Sep 1, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 030522 | NY | Yes |
Practice location
3399 Winton Rd SRochester, NY 14623-3057
Phone 585-334-6000
Mailing address
20 Skycrest DrRochester, NY 14616-1410
Phone 585-734-9737
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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