ROGER B SAMUEL OTR/L
NPI 1225512122
Occupational Therapist in Levittown, NY

Active since September 18, 2018
31 GREY LN, LEVITTOWN, NY 11756(718) 866-8810(718) 866-8810 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 23, 2023, Sep 18, 2018 (2 updates tracked since 2018).

About Roger B Samuel Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROGER B SAMUEL OTR/L (NPI 1225512122) is an individual occupational therapist in Levittown, New York, licensed in New York (025767-01) and active in the NPI registry since September 2018. He is a graduate of Other (2021).

NPPES Registry Identity

NPI1225512122
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameROGER B SAMUELCredential: OTR/L
Location Address31 GREY LNLevittown, NY 11756-4446
Mailing Address31 Grey LnLevittown, NY 11756-4446 · (718) 866-8810 · Fax (718) 866-8810
Fax(718) 866-8810
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 18, 2018
Last NPPES UpdateOctober 23, 20232 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
✔ NPI 1225512122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in NY · 025767-01
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
31 GREY LN, Levittown, NY 11756

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roger B Samuel Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678038346
PECOS Enrollment IDI20260723000126

Medicare Billing Reassignment

Medicare enrollment records show Roger Samuel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
6 ARCADIA LN
Hicksville, NY 11801
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roger Samuel's NPI number?

The NPI number for Roger Samuel is 1225512122. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Where is Roger Samuel located?

Roger Samuel practices at 31 Grey Ln, Levittown, NY 11756. The listed phone number is (718) 866-8810.

What is Roger Samuel's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Roger Samuel enrolled in Medicare?

Yes. Roger Samuel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roger Samuel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roger Samuel reassigns Medicare benefits to Thrive Occupational And Physical (Hicksville, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roger Samuel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roger Samuel was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.