Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samantha Jo Fullerton, OTR/L

Individual provider Occupational Therapist · NPI 1669724670

Samantha Jo Fullerton, OTR/L is an Occupational Therapist in Private Practice in Joplin, Missouri. Qualified in 2012, 14 years ago. Practices with Aegis Group Practice LLC, a 406-clinician group and accepts Medicare assignment. Licensed in Missouri and Texas.

Years since qualifying
14
Licensed in
MO, TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2218 W 32nd St
Joplin, MO 64804-3514
Phone: (417) 623-5264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 2018009632 (MO)
Occupational Therapist Taxonomy 225X00000X · Licence 115050 (TX)

Record details

NPI number1669724670
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedOctober 15, 2012
Last updated in NPPESAugust 5, 2025
Certification dateJuly 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Aegis Group Practice Llc — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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