Samantha Pedersen, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC018025 Issued in PA

Practice address

822 Montgomery Ave Ste 306
Narberth, PA 19072-1948

Phone

(215) 220-2210

NPI assigned

Nov 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1376200923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 SARATOGA WAY",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382980",
            "telephone_number": "267-644-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 MONTGOMERY AVE STE 306",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190721948",
            "telephone_number": "215-220-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "SAMANTHA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC018025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fran@goldstarrehab.com",
            "affiliation": "N",
            "address_1": "822 Montgomery Ave Ste 306",
            "city": "Narberth",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190721948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaitlin O'Grady
• Adrienne Leigh O'Hara, LPC, NCC
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• Maria Theresa Pacifico
• Patient Comfort Services
• Erin Peters
• Philadelphia Surgery Center, Inc.
• Benoy Philip
• Robert Michael Pileggi, M.S.S., L.C.S.W.
• Ed Popielarski, RPH

• Occupational Therapist in Narberth, PA
• Providers in Narberth, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.