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

Individual provider Occupational Therapist · NPI 1124424239

Samantha Heavner, OTR/L is an Occupational Therapist in Grand Rapids, Michigan. Licensed in Michigan and New York. Registered with an NPI since 2014.

Licensed in
MI, NY
In the registry since
2014
Specialties on file
3
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

235 Wealthy St SE
Grand Rapids, MI 49503-5247
Phone: (616) 840-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X (MI)
Occupational Therapist Taxonomy 225X00000X
Occupational Therapist Taxonomy 225X00000X · Licence 018807 (NY)

Record details

NPI number1124424239
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedNovember 17, 2014
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023

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