Samantha Rose Rezac

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

901210 Issued in NE

Practice address

600 Brookstone Meadows PLZ
Elkhorn, NE 68022-4401

Phone

(402) 289-2696

NPI assigned

Aug 16, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1053086686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 GLADYS AVE",
            "city": "YUTAN",
            "state": "NE",
            "postal_code": "680733014",
            "telephone_number": "402-430-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BROOKSTONE MEADOWS PLZ",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224401",
            "telephone_number": "402-289-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZAC",
        "first_name": "SAMANTHA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "901210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Catherine Reiser, M.D.
• Resolve Mediation & Therapeutic Services, LLC
• Katharine Love Reutzel, M.S., R.D., L.M.N.T.
• Jodi Leigh Rever
• Venkata Revuru
• Gary Richards
• Charise Richardson
• Joshua Casey Richling, P.T.
• Katelin J. Ridder, PA
• Laurie Ridder

• Occupational Therapist in Elkhorn, NE
• Providers in Elkhorn, NE by specialty
• Occupational Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.