Individual provider · Type 1 NPI

Samantha Nicole Ballou, OTR/L

Occupational Therapist · Rochester, NY

NPI number 1457230500 Active

Practice location

3399 Winton Rd S
Rochester, NY 14623-3057

Mailing address

20 Skycrest Dr
Rochester, NY 14616-1410

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X030522 (NY)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1457230500

Samantha Nicole Ballou, OTR/L's National Provider Identifier is 1457230500, issued on Sep 1, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Rochester, NY. The record was last updated on Sep 1, 2025.