Samantha Jo Fullerton, OTR/L
NPI 1669724670ActiveIndividual· Occupational Therapist· Joplin, MO
Occupational Therapist (OTR/L) with Aegis Group Practice LLC, practicing in Joplin, Missouri. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1669724670 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR/L |
| Sole proprietor | No |
| NPI issued | Oct 15, 2012 |
| Last updated in NPPES | Aug 5, 2025 |
| Certified by provider | Jul 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 2018009632 | MO |
| Occupational Therapist | 225X00000X | 115050 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (MO) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Aegis Group Practice LLCToledo, OH · 390 clinicians
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