Individual provider Active NPI

Rebecca Serene Wind-Samu, OT

  • Occupational Therapist
  • Willingboro, NJ
National Provider Identifier
1972455129
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00241100 Issued in NJ
Practice address
24 Glenolden LN
Willingboro, NJ 08046-3212
Phone
(609) 877-4111
NPI assigned
Feb 11, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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 46TR00241100 NJ Primary

Addresses

Primary practice location

24 Glenolden LN
Willingboro, NJ 08046-3212

Mailing address

304 Sooy Place Rd
Vincentown, NJ 08088-6904
Phone (609) 234-6921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46TR00241100NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Learning Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1770768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1972455129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 SOOY PLACE RD",
            "city": "VINCENTOWN",
            "state": "NJ",
            "postal_code": "080886904",
            "telephone_number": "609-234-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 GLENOLDEN LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463212",
            "telephone_number": "609-877-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIND-SAMU",
        "first_name": "REBECCA",
        "middle_name": "SERENE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-11",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00241100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.