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

Individual provider Occupational Therapist · NPI 1952014318

Samuel John Maycock, OTD is an Occupational Therapist in Private Practice in Clemson, South Carolina. Qualified in 2022, 4 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
4
Licensed in
SC
In the registry since
2023
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

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Practice location Address checks out

501 Forest Ln Ste A
Clemson, SC 29631-2621
Phone: (864) 654-2001
Fax: (800) 305-7112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1705 Skylyn Dr, Spartanburg, SC 29307-1077 — (864) 580-6317

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 6703 (SC)

Record details

NPI number1952014318
Entity typeIndividual (Type 1)
GenderMale
Credentials OTD
Sole proprietorNo
NPI enumeratedJanuary 2, 2023
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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