Samuel Alexander Macario, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT61419753 Issued in WA

Practice address

16150 NE 85TH St Ste 116
Redmond, WA 98052-3542

Phone

(425) 881-1921

NPI assigned

Mar 20, 2023

Last updated

Mar 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hand Therapy Northwest Inc

  • Occupational Therapist
  • Redmond, WA
  • NPI 1164580809
  NPD

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1861194128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 21ST AVE NE APT 2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053660",
            "telephone_number": "831-331-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16150 NE 85TH ST STE 116",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523542",
            "telephone_number": "425-881-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACARIO",
        "first_name": "SAMUEL",
        "middle_name": "ALEXANDER",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61419753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica Retail North America Inc (Target Optical #4095)
• Makaylee Lyman
• Ben Lynn
• Mallory Lyons, LMHC
• John Paul Lytle Jr., M.D.
• Stephanie A Mack Harmon
• Shelley L. Mackaman, PH.D.
• Martha Ann Mackenzie, PH.D, LICSW
• Lisa Mackey
• Megan Elizabeth Macmurray, D.D.S.

• Occupational Therapist in Redmond, WA
• Providers in Redmond, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.