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SAMARA KING MSOTR/L
NPI 1811097397
Recreation Therapist in Clermont, FL

Active since September 24, 2006
10923 RUSHWOOD WAY, CLERMONT, FL 34714(407) 314-5006(352) 536-9669 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samara King Msotr/l NPPES

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

SAMARA KING MSOTR/L (NPI 1811097397) is an individual recreation therapist in Clermont, Florida, licensed in Florida (41014) and active in the NPI registry since September 2006. She is a graduate of Other (2004).

NPPES Registry Identity

NPI1811097397
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameSAMARA KINGCredential: MSOTR/L
Location Address10923 RUSHWOOD WAYClermont, FL 34714-7545
Mailing Address10923 Rushwood WayClermont, FL 34714-7545 · (407) 314-5006 · Fax (352) 536-9669
Phone(407) 314-5006
Fax(352) 536-9669
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 24, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1811097397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
License✔ Licensed in FL · 41014
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
Also ListedOccupational TherapistTaxonomy 225X00000X · License OT11595 (FL)

Other Identifiers 1

Medicaid8911070FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samara King Msotr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901816594
PECOS Enrollment IDI20250827003003

Medicare Billing Reassignments

2

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

Fchr PA
Physical Therapist
627 8TH ST
Clermont, FL 34711
  • Reassigned Medicare billing, Florida enrollment
  • 16 clinicians in this Medicare group
NPI 1760427975 (352) 243-4422
Mobility Rehabilitation Inc.
Rehabilitation
627 8TH ST
Clermont, FL 34711
  • Reassigned Medicare billing, Florida enrollment
  • 17 clinicians in this Medicare group
NPI 1154757342 (352) 243-9341

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

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

INSPIRE REHABILITATION SERVICES
Occupational Therapist
10923 RUSHWOOD WAY
CLERMONT, FL 34714
Lake County (407) 314-5006

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 Samara King's NPI number?

The NPI number for Samara King is 1811097397. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Where is Samara King located?

Samara King practices at 10923 Rushwood Way, Clermont, FL 34714. The listed phone number is (407) 314-5006.

What is Samara King's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

Is Samara King enrolled in Medicare?

Yes. Samara King is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samara King's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samara King reassigns Medicare benefits to 2 organizations: Fchr PA (Clermont, FL) and Mobility Rehabilitation Inc. (Clermont, FL). 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 Samara King'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 Samara King was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.