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

Mr. Samuel Joseph Porter, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1609561588

Mr. Samuel Joseph Porter, COTA/L is an Occupational Therapy Assistant in Memphis, Tennessee. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2023
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

1265 Union Ave Fl 10
Memphis, TN 38104-3415
Phone: (901) 546-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 890 Madison Ave # 4, Memphis, TN 38103-3409 — (901) 515-3000

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 3001 (TN)

Record details

NPI number1609561588
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedApril 7, 2023
Last updated in NPPESApril 7, 2023
Certification dateApril 6, 2023

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