SAMANTHA M MACK


Address: 24 Hillcrest Cir, Portland, ME 04103-1443
Phone: 2079397931

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 3051 NH Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers SAMANTHA MACK

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

Office Location

Street Address 24 HILLCREST CIR
City PORTLAND
State ME
Zip Code 04103-1443

Providers in the same zip code

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 Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City PORTLAND
Zip Code 04103

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Dataset Information

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.

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