Samantha McKenna, OTR/L, CBIS

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC014446 Issued in PA

Practice address

36 Copperwood Drive
Langhorne, PA 19047-5834

Phone

(215) 750-5303

NPI assigned

Jun 6, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Therapy Solutions Childrens Services

  • Early Intervention Provider Agency
  • Penn Valley, PA
  • NPI 1891194072
  NPD (past)

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1801245394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 N TANEY ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301830",
            "telephone_number": "267-736-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 COPPERWOOD DRIVE",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190475834",
            "telephone_number": "215-750-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "SAMANTHA",
        "credential": "OTR/L, CBIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC014446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103103579",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret A McGlynn, CRNA
• Nia McGowan
• Kelsie Burke McGurrin, HIS
• Elizabeth C McKenna, LSW
• Royal D McKenna, MD
• Carlin J. McLaughlin, DO
• Lauren Rose McLaughlin
• Mark R. McLaughlin, M.D.
• Nicole McLaughlin, OTR/L, CBIS
• Kyle McLoughlin, BEHAVIOR TECHNICIAN

• Occupational Therapist in Langhorne, PA
• Providers in Langhorne, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.