Individual provider Active NPI

Samantha Maher

  • Occupational Therapist
  • Massapequa, NY
National Provider Identifier
1407422181
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
025212 Issued in NY
Practice address
289 N Atlanta Ave
Massapequa, NY 11758-2010
Phone
(516) 491-7084
NPI assigned
Jun 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 121443 TX
Occupational Therapist 225X00000X 13793 NC
Occupational Therapist 225X00000X 025212 NY Primary

Addresses

Primary practice location

289 N Atlanta Ave
Massapequa, NY 11758-2010

Mailing address

289 N Atlanta Ave
Massapequa, NY 11758-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240730003465 ME Practitioner - Occupational Therapist in Private Practice 1456898139 Reassigns benefits to 1 organization
I20260323000676 NH Practitioner - Physical Therapist in Private Practice 1456898139 Reassigns benefits to 1 organization
I20260522001432 NH Practitioner - Occupational Therapist in Private Practice 1456898139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability, LLCGroup PAC ID 4789084104, 15 clinicians

Practice addresses (Care Compare)

1 Bayside Rd
Greenland, NH 03840-2117
Phone (603) 770-0408

68 A Fogg Rd
Epping, NH 03042-3405
Phone (603) 770-0408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13793NCMDPhysical Therapist
025212NYMDOccupational Therapist
121443TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Therapy Outpatient Services of Me, LLC Occupational Therapist CurrentSince Apr 20, 2024 Accepting new patients
Preferred Therapy Outpatient Services of Me, LLC Occupational Therapist CurrentSince Apr 20, 2024 Accepting new patients

Locations

850 Silas Deane Hwy
Fl 2
Wethersfield, CT 06109
Phone (860) 610-0400

30 Community Dr
Camden, ME 04843
Phone (207) 230-6100

Organizations & group practices 3

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": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1407422181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 N ATLANTA AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 N ATLANTA AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582010",
            "telephone_number": "516-491-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121443",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "13793",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "025212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.