Samantha Packer

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

011395-01 Issued in NY

Practice address

1059 3Rd Ave Apt 33
New York, NY 10065-7687

Phone

(917) 509-7735

NPI assigned

Jan 21, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1720890338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 3RD AVE APT 33",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 3RD AVE APT 33",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657687",
            "telephone_number": "917-509-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKER",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "011395-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip David Pack, D.M.D.
• Sheila K. Pack, RPA-C
• Tina Louise Pack, LMSW
• Ann Maurine Packard, M.D.
• David Packer, DO
• Sharon S Packer, M.D.
• Vathani Sharon Packianathan, M.D.
• Joseph Pacla, PHARMD
• Michael E. Pacold, MD, PHD
• Pact Physical Therapy, PLLC

• Occupational Therapy Assistant in New York, NY
• Providers in New York, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.