Individual provider Active NPI

Samantha Cancel

  • Occupational Therapist
  • Hatboro, PA
National Provider Identifier
1255012829
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC018978 Issued in PA
Practice address
2570 Exton Rd
Hatboro, PA 19040-2509
Phone
(215) 436-3366
NPI assigned
Jul 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC018978 PA Primary

Addresses

Primary practice location

2570 Exton Rd
Hatboro, PA 19040-2509

Mailing address

2570 Exton Rd
Hatboro, PA 19040-2509
Phone (215) 436-3366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240221001155 FL Practitioner - Occupational Therapist in Private Practice 1456715952 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC018978PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
QRM Plus Florida - OT LLC Occupational Therapist CurrentSince Feb 1, 2024 Accepting new patients
Namaste Rehab Clinics LLC CurrentSince Jun 29, 2025 Accepting new patients

Locations

670 Flushing Ave
Ste 307
Brooklyn, NY 11206

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1255012829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 EXTON RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190402509",
            "telephone_number": "215-436-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 EXTON RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190402509",
            "telephone_number": "215-436-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCEL",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC018978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.