IndividualActive
Adrienne Samuel, OTR/L
NPI 1497142616 · Occupational Therapist · Rockford, IL
Provider details
- NPI number
- 1497142616
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 056.010875 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2123 Clinton St
Rockford, IL 61103-4104
Phone: (815) 742-1756
Street-level locationGet directions
Mailing address
2123 Clinton St
Rockford, IL 61103-4104
Registry dates
- Enumerated
- 2015-04-26
- Last updated
- 2020-04-22
- Certified
- 2020-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.