Samantha Proctor, OTDR/L
NPI 1508696048 · Occupational Therapist · Maple Grove, MN
Enrolled with Medicare as Practitioner - Occupational Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samantha Proctor, OTDR/L is a Occupational Therapist provider in Maple Grove, MN (NPI 1508696048).
Provider details
- NPI number
- 1508696048
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTDR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 107536 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2024-08-07
- Last updated
- 2024-09-18
- Certified
- 2024-09-18
Frequently asked questions
- What is Samantha Proctor's NPI number?
- Samantha Proctor's National Provider Identifier (NPI) is 1508696048, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Proctor's specialty?
- Samantha Proctor is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Samantha Proctor located?
- Samantha Proctor's practice location on file with NPPES is 9645 Grove Cir N Ste 200, Maple Grove, MN 55369-2684.
- What is Samantha Proctor's phone number?
- The practice phone number listed in the NPPES registry for Samantha Proctor is (763) 201-8191.
- Does Samantha Proctor accept Medicare?
- Samantha Proctor is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samantha Proctor's NPI active?
- Yes — Samantha Proctor's NPI (1508696048) is active in the NPPES registry as of the last update on 2024-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.