Active NPI
Samantha Cancel
- Occupational Therapist
- Hatboro, PA
National Provider Identifier
1255012829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC018978
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| OC018978 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| QRM Plus Florida - OT LLC | Occupational Therapist | Current | Accepting new patients |
| Namaste Rehab Clinics LLC | Current | 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.
-
- Occupational Therapist
- Clearwater, FL
- NPI 1760159685
FL, Occupational Therapist
-
- Physical Therapist
- Spring House, PA
- NPI 1518855469
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.