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

Samuel Shepherd, OTR/L

Individual provider Occupational Therapist · NPI 1568925287

Samuel Shepherd, OTR/L is an Occupational Therapist in Private Practice in Gresham, Oregon. Qualified in 2021, 5 years ago. Registered with an NPI since 2019.

Years since qualifying
5
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

24076 SE Stark St Ste 200
Gresham, OR 97030-3376
Phone: (503) 491-1666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1568925287
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedApril 9, 2019
Last updated in NPPESJanuary 3, 2022
Certification dateAugust 6, 2021

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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