SAMUEL BRANDT PETERSON OT, MOT
NPI 1376090118
Occupational Therapist in Harrisonville, MO

NPI Status: Active since September 09, 2016

Contact Information

678 S COMMERCIAL ST
HARRISONVILLE, MO
ZIP 64701
Phone: (816) 380-3325
Fax: (816) 380-3044

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  • Individual
  • Male
  • Occupational Therapist

About SAMUEL PETERSON

This page provides the complete NPI Profile along with additional information for Samuel Peterson, a provider established in Harrisonville, Missouri with a medical specialization in Occupational Therapist. The healthcare provider is registered in the NPI registry with number 1376090118 assigned on September 2016. The practitioner's primary taxonomy code is 225X00000X with license number 2021023073 (MO). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1376090118
Provider Name
SAMUEL BRANDT PETERSON OT, MOT
Gender
Male
Entity Type
Individual
Location Address
678 S COMMERCIAL ST HARRISONVILLE, MO 64701
Location Phone
(816) 380-3325
Location Fax
(816) 380-3044
Mailing Address
1200 CORPORATE DR STE 400 HOOVER, AL 35242
Mailing Phone
(423) 238-7217
Is Sole Proprietor?
No
Enumeration Date
09-09-2016
Last Update Date
06-18-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Occupational Therapist

Taxonomy Code
225X00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
2021023073
License State
MO
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

16730 (CA)
2225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

363945 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376090118
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2314609012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 0 + 9 + 0 + 1 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1376090118 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

SERC REHABILITATION PARTNERS, LLC

Clinic/Center

(Multi-Specialty)

678 S COMMERCIAL ST
HARRISONVILLE, MO
ZIP 64701

(816) 380-3325

BRETT AARON SIMON DPT

Physical Therapist

678 S COMMERCIAL ST
HARRISONVILLE, MO
ZIP 64701

(816) 380-3325

MELISSA DEANNE FORTMANN MOTR

Occupational Therapist

678 S COMMERCIAL ST
HARRISONVILLE, MO
ZIP 64701

(816) 380-3325

KINDELL ANNE RAFFETY PT, DPT, ATC

Physical Therapist

678 S COMMERCIAL ST
HARRISONVILLE, MO
ZIP 64701

(816) 380-3344

BRENDA ANN STUBITSCH PT, BSPT

Physical Therapist

678 S COMMERCIAL ST
HARRISONVILLE, MO
ZIP 64701

(816) 380-3325

CASSIE LYNN PITTS OT, MOTR, CHT

Occupational Therapist

(Hand)

678 S COMMERCIAL ST
HARRISONVILLE, MO
ZIP 64701

(816) 380-3325

MEGAN ROSE FLANAGIN PT, DPT

Physical Therapist

678 S COMMERCIAL ST
HARRISONVILLE, MO
ZIP 64701

(816) 380-3325

CHRISTOPHER ALLEN DOVE PT, DPT

Physical Therapist

678 S COMMERCIAL ST
HARRISONVILLE, MO
ZIP 64701

(816) 380-3325

MOLLY ELIZABETH WALZ OTD

Occupational Therapist

678 S COMMERCIAL ST
HARRISONVILLE, MO
ZIP 64701

(816) 380-3325

ELIZABETH GONZALEZ

Physical Therapy Assistant

678 S COMMERCIAL ST
HARRISONVILLE, MO
ZIP 64701

(816) 380-3325

TRISHA ANN HANNON PT, DPT

Physical Therapist

678 S COMMERCIAL ST
HARRISONVILLE, MO
ZIP 64701

(816) 380-3325

JUSTIN CONNOR VANN PT, DPT

Physical Therapist

678 S COMMERCIAL ST
HARRISONVILLE, MO
ZIP 64701

(816) 380-3325

ZANE CADY PT, DPT

Physical Therapist

678 S COMMERCIAL ST
HARRISONVILLE, MO
ZIP 64701

(816) 380-3325

ALYSSA BAYARD DPT

Physical Therapist

678 S COMMERCIAL ST
HARRISONVILLE, MO
ZIP 64701

(816) 380-3325

JOSHUA ASPEGREN PT, DPT, CSCS

Physical Therapist

678 S COMMERCIAL ST
HARRISONVILLE, MO
ZIP 64701

(816) 380-3325

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376090118, enumerated as an "individual" on September 09, 2016.

The provider is located at 678 S COMMERCIAL ST HARRISONVILLE, MO 64701 and the phone number is (816) 380-3325.

Occupational Therapist with taxonomy code 225X00000X.