Active NPI
Samantha Thode-Thiaw, MS OTR/L
- Occupational Therapist
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 16452
- Practice address
- 615 Shipyard Blvd
Wilmington, NC 28412-6431 - Phone
- (910) 343-0145
- NPI assigned
- Dec 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 16452 | NC | Primary |
Addresses
Primary practice location
615 Shipyard Blvd
Wilmington, NC 28412-6431
Mailing address
615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone (910) 343-0145
Other practice location 1
1806 S 15th St
Wilmington, NC 28401-6479
Phone (910) 343-0145
Other practice location 2
6 Doctors Cir Ste 1
Supply, NC 28462-6358
Phone (910) 790-9949
Other practice location 3
1886 NC Hwy S
Suite 133
Rocky Point, NC 28457
Phone (910) 343-0145
Other practice location 4
4036 Bus 17 East Bldg 600
Boliva, NC 28422
Phone (910) 343-0145
Other practice location 5
2700 N College Rd
Wilmington, NC 28405-8816
Phone (910) 343-0145
Other practice location 6
1414 Medical Center Dr
Wilmington, NC 28401-7505
Phone (910) 343-0145
Other practice location 7
110 Premiere Plz
Whiteville, NC 28472-2522
Phone (910) 343-0145
Other practice location 8
1307 Market St
Wilmington, NC 28401-4331
Phone (910) 343-0145
Other practice location 9
555 Halyburton Pkwy
Wilmington, NC 28412
Phone (910) 343-0145
Other practice location 10
309 Progress Dr
Burgaw, NC 28425-3280
Phone (910) 343-0145
Other practice location 11
7876 US Hwy 117 S # A
Rocky Point, NC 28457-8408
Phone (910) 343-0145
Other practice location 12
7910 US Hwy 117 S
Rocky Point, NC 28457-9431
Phone (910) 343-0145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16452 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Horizons Center, Inc. | Current | Accepting new patients | |
| Coastal Horizons Center Inc | Current | Accepting new patients | |
| Coastal Horizons Center, Inc. | Current | Accepting new patients | |
| Raise the Bar Therapy Services | Occupational Therapist | Current | Accepting new patients |
Locations
309 Progress Dr
Burgaw, NC 28425
Phone (910) 259-0445
18676 US Highway 17
Hampstead, NC 28443
Phone (910) 270-4156
18676 US Highway 17
Ste 10
Hampstead, NC 28443
Phone (910) 821-1700
7876 US Hwy 117 S
#A
Rocky Point, NC 28457
Phone (910) 675-9200
7910 US Hwy 117 S
Rocky Point, NC 28457
Phone (910) 300-4320
120 Coastal Horizons Dr
Shallotte, NC 28470
Phone (910) 754-4515
1414 Medical Center Dr
Wilmington, NC 28401
Phone (910) 763-7363
615 Shipyard Blvd
Wilmington, NC 28412
Phone (910) 202-5709
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1922022607
-
- Multi-Specialty Clinic/Center
- Hampstead, NC
- NPI 1023486602
Occupational Therapist
-
- Community/Behavioral Health Agency
- Rocky Point, NC
- NPI 1063082592
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1790985448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1841068608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 SHIPYARD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126431",
"telephone_number": "910-343-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 SHIPYARD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126431",
"telephone_number": "910-343-0145"
}
],
"practiceLocations": [
{
"address_1": "1806 S 15th St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284016479",
"country_code": "US",
"telephone_number": "910-343-0145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6 Doctors Cir Ste 1",
"address_purpose": "LOCATION",
"city": "Supply",
"state": "NC",
"postal_code": "284626358",
"country_code": "US",
"telephone_number": "910-790-9949",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1886 NC HWY S",
"address_2": "Suite 133",
"address_purpose": "LOCATION",
"city": "Rocky Point",
"state": "NC",
"postal_code": "28457",
"country_code": "US",
"telephone_number": "910-343-0145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4036 Bus 17 East Bldg 600",
"address_purpose": "LOCATION",
"city": "Boliva",
"state": "NC",
"postal_code": "28422",
"country_code": "US",
"telephone_number": "910-343-0145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2700 N College Rd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284058816",
"country_code": "US",
"telephone_number": "910-343-0145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1414 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284017505",
"country_code": "US",
"telephone_number": "910-343-0145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 Premiere Plz",
"address_purpose": "LOCATION",
"city": "Whiteville",
"state": "NC",
"postal_code": "284722522",
"country_code": "US",
"telephone_number": "910-343-0145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1307 Market St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284014331",
"country_code": "US",
"telephone_number": "910-343-0145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "555 Halyburton Pkwy",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "28412",
"country_code": "US",
"telephone_number": "910-343-0145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "309 Progress Dr",
"address_purpose": "LOCATION",
"city": "Burgaw",
"state": "NC",
"postal_code": "284253280",
"country_code": "US",
"telephone_number": "910-343-0145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7876 US Hwy 117 S # A",
"address_purpose": "LOCATION",
"city": "Rocky Point",
"state": "NC",
"postal_code": "284578408",
"country_code": "US",
"telephone_number": "910-343-0145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7910 US Hwy 117 S",
"address_purpose": "LOCATION",
"city": "Rocky Point",
"state": "NC",
"postal_code": "284579431",
"country_code": "US",
"telephone_number": "910-343-0145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THODE-THIAW",
"first_name": "SAMANTHA",
"credential": "MS OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-12",
"last_updated": "2025-07-30",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "16452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.