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

Individual provider Occupational Therapist · NPI 1558121970

Samantha Thao, OTR/L is an Occupational Therapist in Fitchburg, Wisconsin. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2024
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

2995 Sub Zero Pkwy
Fitchburg, WI 53719-8801
Phone: (608) 819-6394
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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 105993 (MN)

Record details

NPI number1558121970
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedMarch 21, 2024
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026

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