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

Individual provider Occupational Therapist · NPI 1679202147

Samantha Rae Heitner is an Occupational Therapist in Private Practice in New Lenox, Illinois. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2022
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Practice location Address checks out

147 Central Rd
New Lenox, IL 60451-2103
Phone: (815) 641-0777
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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 056.015839 (IL)

Record details

NPI number1679202147
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 8, 2022
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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