SAMANTHA BURKE
NPI 1972065399
Rehabilitation Practitioner in San Mateo, CA

Q: What is the provider's specialty?

The provider's specialty is Rehabilitation Practitioner with taxonomy code 225400000X.

Active since April 03, 2019

424 PENINSULA AVE, SAN MATEO, CA 94401(650) 286-4396 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 10, 2023, Oct 11, 2021, Apr 3, 2019 (3 updates tracked since 2019).

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About Samantha Burke NPPES

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

SAMANTHA BURKE (NPI 1972065399) is an individual rehabilitation practitioner in San Mateo, California and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1972065399

Entity TypeIndividualFemale

Primary Taxonomy225400000X

Provider Legal NameSAMANTHA BURKE

Location Address424 PENINSULA AVESan Mateo, CA 94401-1653

Mailing Address8945 Golf Links RdOakland, CA 94605-4124

Phone(650) 286-4396

Sole ProprietorNo

Enumeration DateApril 3, 2019

Last NPPES UpdateApril 21, 20253 updates tracked since enumeration

NPPES CertifiedApril 21, 2025

✔ NPI 1972065399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedBehavior TechnicianTaxonomy 106S00000X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

424 PENINSULA AVE, San Mateo, CA 94401

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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.

MS. DENISE POLLARD MA, BCBA

Behavior Analyst