SAMANTHA GREEN
NPI 1629868427
Occupational Therapist in Fort Myers, FL

Active since May 07, 2025Accepts Medicare Assignment
8360 TRENTWOOD CT, FORT MYERS, FL 33912(574) 849-6185 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samantha Green NPPES

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

SAMANTHA GREEN (NPI 1629868427) is an individual occupational therapist in Fort Myers, Florida, licensed in Indiana (31008672A) and active in the NPI registry since May 2025. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1629868427
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameSAMANTHA GREEN
Location Address8360 TRENTWOOD CTFort Myers, FL 33912-4686
Mailing Address8360 Trentwood CtFort Myers, FL 33912-4686 · (574) 849-6185
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 7, 2025
NPPES CertifiedMay 7, 2025
✔ NPI 1629868427 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 IN · 31008672A
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.
8360 TRENTWOOD CT, Fort Myers, FL 33912

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Green 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 ID8426569088
PECOS Enrollment IDI20250619001653

Medicare Billing Reassignments

2

Medicare enrollment records show Samantha Green reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
7 CARNEGIE PLZ
Cherry Hill, NJ 08003
  • Reassigned Medicare billing, Indiana enrollment
  • 150 clinicians in this Medicare group
Physical Therapist
343 E 90TH DR
Merrillville, IN 46410
  • Reassigned Medicare billing, Indiana enrollment
  • 213 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 Green's NPI number?

The NPI number for Samantha Green is 1629868427. It was assigned to this individual provider in the NPPES registry on May 7, 2025.

Where is Samantha Green located?

Samantha Green practices at 8360 Trentwood Ct, Fort Myers, FL 33912. The listed phone number is (574) 849-6185.

What is Samantha Green's specialty?

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

Is Samantha Green enrolled in Medicare?

Yes. Samantha Green 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.

Which organizations bill Medicare for Samantha Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Green reassigns Medicare benefits to 2 organizations: Fox Rehab Indiana LLC (Cherry Hill, NJ) and Healthpro Heritage Rehab & Fitness, LLC (Merrillville, IN). Each 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 Green'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 Samantha Green was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.