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

Samuel Mathis

Individual provider Occupational Therapy Assistant · NPI 1235542176

Samuel Mathis is an Occupational Therapy Assistant in Pinckneyville, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014
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Practice location Address checks out

101 W Parker St
Pinckneyville, IL 62274-1635
Phone: (618) 318-6871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 057.003628 (IL)

Record details

NPI number1235542176
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 9, 2014
Last updated in NPPESJune 9, 2014
Mailing address101 W Parker St, Pinckneyville, IL 62274-1635

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