Healthcare Provider Details

I. General information

NPI: 1023397106
Provider Name (Legal Business Name): SAMANTHA HILL OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2011
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1537 ADDISON AVE E
TWIN FALLS ID
83301-5342
US

IV. Provider business mailing address

4327 N 1224 E
BUHL ID
83316-5120
US

V. Phone/Fax

Practice location:
  • Phone: 208-397-8916
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT-1161
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT-1953
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: