MEDICARE: SAMANTHA NICOLE KULAS OTD,OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT013254	OH

General Provider Information

NPI Number	:	1528912250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA NICOLE KULAS OTD,OTR/L

Provider Business Mailing Address
First Line	:	33985 LINCOLN AVE
Second Line	:
City	:	NORTH RIDGEVILLE
State	:	OH
Zip	:	44039-3243
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	23550 CENTER RIDGE RD STE 105
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-3655
Country	:	US
Telephone Number	:	440-895-9770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	02/20/2026

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