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

Individual provider Occupational Therapist · NPI 1689560054

Samantha Keneisha McGowan is an Occupational Therapist in Private Practice in Glen Rock, New Jersey. Qualified in 2025, 1 year ago. Practices with Sportsmed PT LLC, a 214-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
1
Licensed in
NJ
In the registry since
2025
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Practice location Address checks out

266 Harristown Rd Ste 304
Glen Rock, NJ 07452-3321
Phone: (973) 750-0880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 46TR01245700 (NJ)

Record details

NPI number1689560054
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 13, 2025
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Sportsmed Pt Llc — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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