Samantha Gubka, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1025 N Country Club Dr
Mesa, AZ 85201-3302

Phone

(480) 472-0710

NPI assigned

Jul 28, 2020

Last updated

Jul 28, 2020By the provider in NPPES

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

Enrolled in AZ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Advanced Neurologic Rehabilitation

  • Physical Therapy Clinic/Center
  • Chandler, AZ
  • NPI 1922482017
  Medicare reassignment

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1780293415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 S SIGNAL BUTTE RD UNIT 16",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092138",
            "telephone_number": "480-276-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 N COUNTRY CLUB DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013302",
            "telephone_number": "480-472-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBKA",
        "first_name": "SAMANTHA",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GS Consulting Services, LLC
• Marivic Badilla Guanso, FNP-C
• Guardian Angel Care Transportation
• Guardian Angels Home Health LLC
• Guardian Angels Hospice LLC
• Talia Shumway Gubler, RDH
• Lizxy Gudino Cortes, BA, RBT
• Jennifer Ann Guerena, PT
• Heather Irene Guerra, AU.D.
• Yesenia Guerrero Dejong, RN

• Occupational Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.