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

Samantha Ortiz

Individual provider Occupational Therapist · NPI 1821598673

Samantha Ortiz is an Occupational Therapist in Private Practice in Warren, Michigan. Qualified in 2000, 26 years ago. Practices with Form and Focus- Rehab and Wellness PLLC, a 2-clinician group and accepts Medicare assignment.

Years since qualifying
26
In the registry since
2018
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Practice location Address checks out

31800 Van Dyke Ave
Warren, MI 48093-7907
Phone: (586) 722-2585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1821598673
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 19, 2018
Last updated in NPPESFebruary 19, 2018
Mailing address607 Dewey Ave Nw, Grand Rapids, MI 49504-7335

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Form And Focus- Rehab And Wellness Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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