Active NPI
Samantha D Patterson, OTR/L
- Occupational Therapist
- Pinehurst, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9456
- Practice address
- 300 Blake Blvd
Pinehurst, NC 28374-8474 - Phone
- (615) 891-0295
- NPI assigned
- Jan 5, 2019
- Last updated
- Sep 8, 2021
- 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 | 9456 | NC | Primary |
Addresses
Primary practice location
300 Blake Blvd
Pinehurst, NC 28374-8474
Mailing address
240 W Connecticut Ave
Southern Pines, NC 28387-4710
Phone (704) 662-4442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Brucewood Rd
Southern Pines, NC 28387-5159
Phone (910) 970-4713
205 SE Service Rd
Southern Pines, NC 28387-5057
Phone (910) 246-0629
2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600
8398 Fayetteville Rd
Raeford, NC 28376-6500
Phone (919) 825-1175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services, Inc. | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Occupational Therapist | Current | Accepting new patients |
Locations
2701 Pickett Rd
Durham, NC 27705
Phone (919) 419-4012
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (888) 654-1948
Organizations & group practices 2
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.
-
- Physical Therapist
- Durham, NC
- NPI 1104823400
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1881167542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 W CONNECTICUT AVE",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283874710",
"telephone_number": "704-662-4442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BLAKE BLVD",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748474",
"telephone_number": "615-891-0295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "SAMANTHA",
"middle_name": "D",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-05",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "9456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.