SAMANTHA JO LARSON OTD, OTR/L
NPI 1386420289
Occupational Therapist - Pediatrics in Minnetonka, MN
About Samantha Jo Larson Otd, Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA JO LARSON OTD, OTR/L (NPI 1386420289) is an individual pediatrics provider in Minnetonka, Minnesota, licensed in Minnesota (107278) and active in the NPI registry since September 2023.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samantha Jo Larson Otd, Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samantha Larson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 59 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 Samantha Larson's NPI number?
The NPI number for Samantha Larson is 1386420289. It was assigned to this individual provider in the NPPES registry on September 6, 2023.
Where is Samantha Larson located?
Samantha Larson practices at 2240 Plymouth Rd Apt 101, Minnetonka, MN 55305. The listed phone number is (952) 270-8166.
What is Samantha Larson's specialty?
The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.
Is Samantha Larson enrolled in Medicare?
Yes. Samantha Larson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samantha Larson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Larson reassigns Medicare benefits to Family Achievement Center Inc. (Woodbury, MN). 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 Samantha Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Larson accept?
Health plans from Medica list Samantha Larson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Samantha Larson was last updated on September 6, 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.