Provider Demographics
NPI:1053383927
Name:ROBINSON, SAMANTHA (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9523 PAINTED CANYON CIR
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-5731
Mailing Address - Country:US
Mailing Address - Phone:941-518-5698
Mailing Address - Fax:
Practice Address - Street 1:DRAGONFLY SPEECH THERAPY
Practice Address - Street 2:10246 PROGRESS LN
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-4044
Practice Address - Country:US
Practice Address - Phone:720-515-8254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-06
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT8995225X00000X
COOT.0007442225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY902FOtherBCBS