Mr Samuel Smith, OTR/L in Roosevelt, UT - Occupational Therapist

Mr Samuel Smith, OTR/L is a Occupational Therapist based in Roosevelt, Utah. Mr Samuel Smith is licensed to practice in Utah (license number 10685382-4201) and his current practice location is 1010 E 200 N, Roosevelt, Utah. He can be reached at his office (for appointments etc.) via phone at (435) 823-1769.

NPI number for Mr Samuel Smith is 1922725159 and his current mailing address is 261 E 1080 S, Roosevelt, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922725159.

Contact Information

	Mr Samuel Smith, OTR/L
	1010 E 200 N, Roosevelt, UT 84066-2585
	(435) 823-1769
	Not Available

Healthcare Provider's Profile

Full Name	Mr Samuel Smith
Gender	Male
Speciality	Occupational Therapist
Location	1010 E 200 N, Roosevelt, Utah
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1922725159
Provider Enumeration Date: 10/27/2022
Last Update Date: 10/27/2022

Medical Identifiers

Medical identifiers for Mr Samuel Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922725159	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	10685382-4201 (Utah)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Samuel Smith is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Samuel Smith, OTR/L 261 E 1080 S, Roosevelt, UT 84066-3809 Ph: (801) 636-7891	Mr Samuel Smith, OTR/L 1010 E 200 N, Roosevelt, UT 84066-2585 Ph: (435) 823-1769

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Occupational Therapist in Roosevelt, UT

Royce Porter, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-725-7448
Greg Neilsen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6186
Ryan James Avery, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691
Amanda Garner, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 136 South 500 East, Roosevelt, UT 84066 Phone: 435-709-6553 Fax: 435-236-2282

Mr Samuel Smith, OTR/L - Occupational Therapist in Roosevelt, UT