Individual provider Active NPI

Matthew Zach Samonte, OTRL

  • Occupational Therapist
  • Columbia, SC
National Provider Identifier
1679588966
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
111539 Issued in TX
Practice address
4500 Stuart St
Mach-Occupational Therapy
Columbia, SC 29207-5700
Phone
(803) 751-2377
NPI assigned
Jul 29, 2006
Last updated
Nov 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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 111539 TX Primary

Addresses

Primary practice location

4500 Stuart St
Mach-Occupational Therapy
Columbia, SC 29207-5700

Mailing address

1270 Polo Rd
Apt. 835
Columbia, SC 29223-8155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250211003098 DC Practitioner - Occupational Therapist in Private Practice 7315477940 Reassigns benefits to 1 organization
I20250211003362 MD Practitioner - Occupational Therapist in Private Practice 7315477940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proflex Physical Therapy of Maryland, LLCGroup PAC ID 7416244322, 41 clinicians

Practice addresses (Care Compare)

3320 Crain Hwy
Waldorf, MD 20603-4850
Phone (301) 870-7366

7905 Malcolm Rd
Suite 201
Clinton, MD 20735-1749
Phone (301) 856-0050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10438MDMDPharmacist
111539TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proflex Physical Therapy of Maryland, LLC. CurrentSince Feb 7, 2025 Accepting new patients
Proflex Physical Thearpy of Maryland, LLC CurrentSince Feb 7, 2025 Accepting new patients

Locations

7905 Malcolm Rd
Ste 201
Clinton, MD 20735
Phone (301) 856-0050

3320 Crain Hwy
Waldorf, MD 20603
Phone (301) 870-7366

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, 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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1679588966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 POLO RD",
            "address_2": "APT. 835",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292238155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 STUART ST",
            "address_2": "MACH-OCCUPATIONAL THERAPY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292075700",
            "telephone_number": "803-751-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMONTE",
        "first_name": "MATTHEW",
        "middle_name": "ZACH",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "111539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.