Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Samoge-Wismer, OTR

Individual provider Skilled Nursing Facility · NPI 1033586060

Mary Samoge-Wismer, OTR is a Skilled Nursing Facility in Port Charlotte, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2015
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

18480 Cochran Blvd
Port Charlotte, FL 33948-3379
Phone: (941) 743-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence OT9256 (FL)

Record details

NPI number1033586060
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedAugust 25, 2015
Last updated in NPPESAugust 25, 2015

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