SAMANTHA MARIE PROCTOR OTDR/L
NPI 1508696048
Occupational Therapist in Maple Grove, MN

Active since August 07, 2024Accepts Medicare Assignment
9645 GROVE CIR N STE 200, MAPLE GROVE, MN 55369(763) 201-8191 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 18, 2024, Aug 7, 2024 (2 updates tracked since 2024).

About Samantha Marie Proctor Otdr/l NPPES

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

SAMANTHA MARIE PROCTOR OTDR/L (NPI 1508696048) is an individual occupational therapist in Maple Grove, Minnesota, licensed in Minnesota (107536) and active in the NPI registry since August 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1508696048
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameSAMANTHA MARIE PROCTORCredential: OTDR/L
Location Address9645 GROVE CIR N STE 200Maple Grove, MN 55369-2684
Mailing Address11117 Hillsboro Ave NChamplin, MN 55316-3128 · (763) 228-4274
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 7, 2024
Last NPPES UpdateSeptember 18, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
NPI 1508696048 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 MN · 107536
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.

9645 GROVE CIR N STE 200, Maple Grove, MN 55369

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samantha Marie Proctor Otdr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022549708
PECOS Enrollment IDI20241004002646

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology (Pain Medicine)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Pain Medicine (Interventional Pain Medicine)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Physician Assistant
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Specialist
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Anesthesiology (Pain Medicine)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Pain Medicine (Interventional Pain Medicine)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Nurse Practitioner (Family)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Nurse Practitioner
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369

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 Proctor's NPI number?

The NPI number for Samantha Proctor is 1508696048. It was assigned to this individual provider in the NPPES registry on August 7, 2024.

Where is Samantha Proctor located?

Samantha Proctor practices at 9645 Grove Cir N Ste 200, Maple Grove, MN 55369. The listed phone number is (763) 201-8191.

What is Samantha Proctor's specialty?

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

Is Samantha Proctor enrolled in Medicare?

Yes. Samantha Proctor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samantha Proctor accept?

Health plans from Medica list Samantha Proctor 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 Proctor was last updated on September 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.