Individual provider Active NPI

Samantha Stanko, OTR/L

  • Occupational Therapist
  • Wilmington, NC
National Provider Identifier
1417829318
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17988 Issued in NC
Practice address
9020 Senca Dr Ste 220
Wilmington, NC 28411-6680
Phone
(910) 264-9317
NPI assigned
Sep 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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 17988 NC Primary

Addresses

Primary practice location

9020 Senca Dr Ste 220
Wilmington, NC 28411-6680

Mailing address

9020 Senca Dr Ste 220
Wilmington, NC 28411-6680
Phone (910) 264-9317

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251031000143 NC Practitioner - Occupational Therapist in Private Practice 7012406895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Therapy Solutions, PLLCGroup PAC ID 7113337700, 14 clinicians

Practice addresses (Care Compare)

9020 Senca Dr
Suite 220
Wilmington, NC 28411-6680
Phone (910) 264-9317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17988NCMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Therapy Solutions, PLLC Occupational Therapist CurrentSince Sep 22, 2025 Accepting new patients

Locations

9020 Senca Dr
Ste 220
Wilmington, NC 28411
Phone (910) 264-9317

Organizations & group practices 1

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": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1417829318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 SENCA DR STE 220",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284116680",
            "telephone_number": "910-264-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 SENCA DR STE 220",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284116680",
            "telephone_number": "910-264-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANKO",
        "first_name": "SAMANTHA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "17988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.