Active NPI
Samantha Struzyk, OTR/L
- Occupational Therapist
- Raleigh, NC
National Provider Identifier
1568927382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7953
- Practice address
- 4011 Westchase Blvd Ste 290
Raleigh, NC 27607-3954 - Phone
- (919) 785-9090
- NPI assigned
- Feb 6, 2019
- Last updated
- Feb 6, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 7953 | NC | Primary |
Addresses
Primary practice location
4011 Westchase Blvd Ste 290
Raleigh, NC 27607-3954
Mailing address
4011 Westchase Blvd Ste 290
Raleigh, NC 27607-3954
Phone (919) 785-9090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7953 | Other | NC | NCBOT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3523 Courtland Dr
Durham, NC 27707-5134
Phone (919) 605-6105
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7953 | NC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 7593 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active at Home Senior Services | Occupational Therapist | Current | Accepting new patients |
Locations
4711 Hope Valley Rd
Ste 4F417
Durham, NC 27707
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1568927382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4011 WESTCHASE BLVD STE 290",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276073954",
"telephone_number": "919-785-9090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 WESTCHASE BLVD STE 290",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276073954",
"telephone_number": "919-785-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRUZYK",
"first_name": "SAMANTHA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-06",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "7953",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCBOT",
"identifier": "7953",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.