SAMANTHA GUBKA MS OTR/L
NPI 1780293415
Occupational Therapist in Mesa, AZ

Active since July 28, 2020
1025 N COUNTRY CLUB DR, MESA, AZ 85201(480) 472-0710 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samantha Gubka Ms Otr/l NPPES

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

SAMANTHA GUBKA MS OTR/L (NPI 1780293415) is an individual occupational therapist in Mesa, Arizona and active in the NPI registry since July 2020. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1780293415
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameSAMANTHA GUBKACredential: MS OTR/L
Location Address1025 N COUNTRY CLUB DRMesa, AZ 85201-3302
Mailing Address2565 S Signal Butte Rd Unit 16Mesa, AZ 85209-2138 · (480) 276-0391
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 28, 2020
NPPES CertifiedJuly 28, 2020
✔ NPI 1780293415 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
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.
1025 N COUNTRY CLUB DR, Mesa, AZ 85201

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 Gubka Ms Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294202032
PECOS Enrollment IDI20260429001796

Medicare Billing Reassignment

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

Physical Therapy
3160 N. ARIZONA AVE, SUITE 106
Chandler, AZ 85225
  • Reassigned Medicare billing, Arizona enrollment
  • 49 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.

Other Providers at the Same Location NPPES 20

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

Audiologist
1025 N COUNTRY CLUB DR
MESA, AZ 85201
Physical Therapist
1025 N COUNTRY CLUB DR
MESA, AZ 85201
Speech-Language Pathologist
1025 N COUNTRY CLUB DR
MESA, AZ 85201
Registered Nurse (School)
1025 N COUNTRY CLUB DR
MESA, AZ 85201
Occupational Therapist
1025 N COUNTRY CLUB DR
MESA, AZ 85201
Registered Nurse (School)
1025 N COUNTRY CLUB DR
MESA, AZ 85201
Speech-Language Pathologist
1025 N COUNTRY CLUB DR
MESA, AZ 85201
Speech-Language Pathologist
1025 N COUNTRY CLUB DR
MESA, AZ 85201

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 Gubka's NPI number?

The NPI number for Samantha Gubka is 1780293415. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Where is Samantha Gubka located?

Samantha Gubka practices at 1025 N Country Club Dr, Mesa, AZ 85201. The listed phone number is (480) 472-0710.

What is Samantha Gubka's specialty?

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

Is Samantha Gubka enrolled in Medicare?

Yes. Samantha Gubka is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Gubka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Gubka reassigns Medicare benefits to Advanced Neurologic Rehabilitation (Chandler, AZ). 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 Gubka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Gubka accept?

Health plans from Ambetter from Arizona Complete Health list Samantha Gubka 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 Gubka was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.