Samantha Raven Jaconetti

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

46TA09266200 Issued in NJ

Practice address

769 Route 70 E Ste C175
Marlton, NJ 08053-2360

Phone

(609) 276-8553

NPI assigned

May 2, 2026

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

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.

• Bright Beginnings Pediatric Therapy SJ

  • Pediatric Occupational Therapist
  • Evesham, NJ
  • NPI 1457166548
  NPD (past)

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

{
    "created_epoch": "1777680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777680000000",
    "number": "1912844309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 JACKSON RD",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080091611",
            "telephone_number": "856-287-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 ROUTE 70 E STE C175",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532360",
            "telephone_number": "609-276-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACONETTI",
        "first_name": "SAMANTHA",
        "middle_name": "RAVEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-02",
        "last_updated": "2026-05-02",
        "certification_date": "2026-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09266200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ja Vue Inc. (Pearle Vision Franchise)
• Amira Jabbar
• Edelquinne Ann Jacildo
• Teresa B Jackson, HIS
• Danielle Marie Jacobs
• Brian Jaffe, MD
• Yvette Jamison, LSW
• Steven Janik, ATC
• Stephanie Janowsky
• Angela L Jarvis, D.C.

• Occupational Therapy Assistant in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Occupational Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2026; 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.