Individual provider Active NPI

Samantha Feltes, OTR/L, CHT, COMT-UL

  • Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1932731403
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13104 Issued in NC
Practice address
201 McCullough Dr Ste 310
Charlotte, NC 28262-3577
Phone
(704) 547-1129
NPI assigned
Feb 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 13104 NC Primary

Addresses

Primary practice location

201 McCullough Dr Ste 310
Charlotte, NC 28262-3577

Mailing address

201 McCullough Dr Ste 310
Charlotte, NC 28262-3577
Phone (704) 547-1129

Other names 1

  • Samantha Demaria Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230414002419 NC Practitioner - Occupational Therapist in Private Practice 3577938075 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13104NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Therapy of North Carolina Inc CurrentSince Jan 23, 2023 Accepting new patients
Proactive Therapy of North Carolina Inc CurrentSince Jan 23, 2023 Accepting new patients
Proactive Therapy of North Carolina Inc CurrentSince Feb 1, 2020 Accepting new patients
Select Physical Therapy Holdings Inc PastSince Feb 1, 2020 Accepting new patients

Locations

60 Livingston St
Ste 400
Asheville, NC 28801
Phone (828) 258-0797

8220 University Exec Park Dr
Ste 140
Charlotte, NC 28262
Phone (704) 547-1129

201 McCullough Dr
Ste 310
Charlotte, NC 28262
Phone (704) 547-1129

2358 US Highway 70
Ste Ab
Swannanoa, NC 28778
Phone (828) 686-3375

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

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1932731403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MCCULLOUGH DR STE 310",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623577",
            "telephone_number": "704-547-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MCCULLOUGH DR STE 310",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623577",
            "telephone_number": "704-547-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTES",
        "first_name": "SAMANTHA",
        "credential": "OTR/L, CHT, COMT-UL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "13104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "DEMARIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.

Verify at the official NPI Registry.