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

Individual provider Occupational Therapist · NPI 1043861107

Samantha Rebecca, OTR/L is an Occupational Therapist in Port Jefferson Station, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
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

5225 Nesconset Hwy Ste 3
Port Jefferson Station, NY 11776-2054
Phone: (631) 909-8800
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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 023935 (NY)

Record details

NPI number1043861107
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedSeptember 20, 2019
Last updated in NPPESSeptember 20, 2019

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