Active NPI
Samanvita Ivaturi
- Occupational Therapist
- Dundalk, MD
National Provider Identifier
1083550487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10646
- Practice address
- 1576 Merritt Blvd Ste 7
Dundalk, MD 21222-2114 - Phone
- (410) 650-2145
- NPI assigned
- Apr 27, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 10646 | MD | Primary |
Addresses
Primary practice location
1576 Merritt Blvd Ste 7
Dundalk, MD 21222-2114
Mailing address
35 Lexington Rd
Monmouth Junction, NJ 08852-3084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10646 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1083550487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 LEXINGTON RD",
"city": "MONMOUTH JUNCTION",
"state": "NJ",
"postal_code": "088523084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1576 MERRITT BLVD STE 7",
"city": "DUNDALK",
"state": "MD",
"postal_code": "212222114",
"telephone_number": "410-650-2145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVATURI",
"first_name": "SAMANVITA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-04-27",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "10646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dundalk, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.