Individual provider Active NPI

Samantha Ann Jadlowski, OT

  • Occupational Therapist
  • Papillion, NE
National Provider Identifier
1700132313
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1660 Issued in NE
Practice address
8419 S 73Rd PLZ Ste 104
Papillion, NE 68046-1507
Phone
(402) 991-2745
Fax
(402) 991-2748
NPI assigned
Aug 1, 2012
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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 1660 NE Primary

Addresses

Primary practice location

8419 S 73Rd PLZ Ste 104
Papillion, NE 68046-1507

Mailing address

PO Box 34669
Omaha, NE 68134-0669
Phone (402) 932-6791

Other names 1

  • Samantha Sandiland Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 34669
Omaha, NE 68134

Merit-based Incentive Payment System (MIPS)

Final score
32.9 of 100Reported as group
Quality
0
Improvement activities
40
Cost
59.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1660NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Makovicka Harms Group PC Occupational Therapist CurrentSince Jan 29, 2024 Accepting new patients
Makovicka Harms Group, PC PastSince Jan 29, 2024 Accepting new patients

Locations

4235 N 90th St
Omaha, NE 68134
Phone (402) 934-0045

8419 S 73rd Plz
Ste 104
Papillion, NE 68046
Phone (402) 991-2745

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": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1700132313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34669",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681340669",
            "telephone_number": "402-932-6791",
            "fax_number": "402-614-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8419 S 73RD PLZ STE 104",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680461507",
            "telephone_number": "402-991-2745",
            "fax_number": "402-991-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADLOWSKI",
        "first_name": "SAMANTHA",
        "middle_name": "ANN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "1660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "SANDILAND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.