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

Samantha Lauren Wallenberg, MS, OTD, OTR/L

Individual provider Occupational Therapist · NPI 1306682208

Samantha Lauren Wallenberg, MS, OTD, OTR/L is an Occupational Therapist in Prophetstown, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

310 Mosher Dr
Prophetstown, IL 61277-1001
Phone: (309) 525-0231
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 056.013694 (IL)

Record details

NPI number1306682208
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTD , OTR/L
Sole proprietorNo
NPI enumeratedJuly 1, 2024
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024

Other providers in Prophetstown