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

Individual provider Occupational Therapy Assistant · NPI 1730731175

Samantha Ann Shields, COTA is an Occupational Therapy Assistant in Portage, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2019.

Licensed in
WI
In the registry since
2019
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

2805 Hunters Trl
Portage, WI 53901-3429
Phone: (608) 745-4347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 4913-27 (WI)

Record details

NPI number1730731175
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedJuly 16, 2019
Last updated in NPPESJuly 16, 2019

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