SAMANTHA M MACK (NPI# 1124632674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124632674 |
Entity Type | Individual |
Full Name | SAMANTHA M MACK |
Credential | OTR |
Practice Address |
24 Hillcrest Cir Portland ME 04103-1443 |
Mailing Address |
744 W Swanzey Rd Apt 103 Swanzey NH 03446-3353 |
Practice Telephone | 2079397931 |
Mailing Telephone | 2079397931 |
Enumeration Date | 2020-09-02 |
Last Update Date | 2020-09-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 3051 | NH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972956274 | Samantha Mack | Counselor | 517 West Northern Lights, Anchorage, AK 99503 | 2016-07-21 |
1801397104 | Samantha Mack | Behavior Technician | 15721 N Greenway Hayden Loop Ste 103, Scottsdale, AZ 85260-1776 | 2018-02-22 |
1528185089 | Samantha Elizabeth Mack | Pathology | 6116 E Warren Ave, Denver, CO 80222-5703 | 2007-03-22 |
Street Address |
24 HILLCREST CIR |
City | PORTLAND |
State | ME |
Zip Code | 04103-1443 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
1982251435 | Hope Home Healthcare, LLC | Home Health | 68 Bishop St Unit 3 #2, Portland, ME 04103 | 2019-08-20 |
1992367023 | Care for Everyone | In Home Supportive Care | 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 | 2019-06-28 |
1093373458 | Emanuel Nistrian | Student in an Organized Health Care Education/Training Program | Une, 716 Stevens Ave., Portland, ME 04103 | 2019-05-31 |
1023676483 | Robert Montague | Student in an Organized Health Care Education/Training Program | University of New England, 716 Stevens Ave, Portland, ME 04103 | 2019-05-31 |
1154838027 | Kimberly Therriault | Behavior Technician | 527 Ocean Ave Ste 19, Portland, ME 04103 | 2018-01-02 |
1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
1578082244 | Darcelle Kay Stillman | Occupational Therapist | 90 Dorothy St, Portland, ME 04103 | 2017-09-14 |
1821524943 | Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
1720524283 | Hannah Rose Kazilionis | Counselor | 257 Deering Ave # 204, Portland, ME 04103 | 2017-01-09 |
Find all providers in zip 04103 |
Taxonomy Code | 225X00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | 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 experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720685258 | Dakota Stewart | Occupational Therapist | 12765 Nw Lovejoy St, Portland, OR 97229-4644 | 2020-10-07 |
1639782386 | Marie Trevisan | Occupational Therapist | 4110 Ne Tillamook St Apt 307, Portland, OR 97212-5359 | 2020-08-24 |
1649899568 | Suzanna Braverman | Occupational Therapist | Ohsu Center for Health and Healing Rehabilitation, 3303 Sw Bond Ave, Portland, OR 97239-3098 | 2020-04-10 |
1265064562 | Paul Jungwirth | Occupational Therapist | 11 Russell St Apt 3, Portland, ME 04102-3161 | 2020-02-05 |
1144850074 | Keirstalyn Wade | Occupational Therapist | 5335 Ne Irving St, Portland, OR 97213-3157 | 2020-01-20 |
1083254973 | Brina Kelly | Occupational Therapist | 10 Pleasant Ave, Portland, ME 04103-3218 | 2020-01-08 |
1144889726 | Jessica Campbell | Occupational Therapist | 587 Riverside St, Portland, ME 04103-1289 | 2019-06-07 |
1366906711 | Julia Integlia Welter | Occupational Therapist | 12 Saint Lawrence St Unit 1, Portland, ME 04101-4316 | 2019-01-29 |
1710453840 | Amanda Sisco | Occupational Therapist | 4138 Se 76th Ave, Portland, OR 97206-3350 | 2018-10-16 |
1891280749 | Juliette Reine Pierce | Occupational Therapist | 6543 Se Hazel St, Portland, OR 97206-9547 | 2018-06-23 |
Find all providers in PORTLAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.