Samantha Maffucci, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT25046 Issued in FL

Practice address

3127 W International Speedway Blvd
Daytona Beach, FL 32124-1070

Phone

(386) 258-9502

Fax

(386) 239-9781

NPI assigned

Feb 29, 2024

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 FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile Therapy Services LLCGroup PAC ID 8325475064, 4 clinicians

Trident Sports Medicine and Rehabilitation IncGroup PAC ID 4688027295, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mobile Therapy Services LLC

  • Physical Therapist
  • Ormond Beach, FL
  • NPI 1134768948
  Medicare reassignment Care Compare group NPD
• Trident Sports Medicine and Rehabilitation Inc.

  • Sports Medicine (Family Medicine) Physician
  • Ormond Beach, FL
  • NPI 1811766637
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1831956408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 W INTERNATIONAL SPEEDWAY BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321241070",
            "telephone_number": "386-258-9502",
            "fax_number": "386-239-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3127 W INTERNATIONAL SPEEDWAY BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321241070",
            "telephone_number": "386-258-9502",
            "fax_number": "386-239-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAFFUCCI",
        "first_name": "SAMANTHA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT25046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyree J Macon
• Lisa Macri, ARNP
• Jenayia Maddox
• Katarzyna I. Madejczyk, MD
• Shardae Madison, RBT
• Magenta BP LLC
• Marcus Magidow, APRN
• Magnola Manor at Daytona Beach, LLC
• Hannah Neve Magnuson, APRN
• Elena Lucy Magrans, M.D., M.P.H.

• Occupational Therapist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.