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Active NPI 1508696048 Individual Practitioner Female Practitioner

Samantha Marie Proctor , OTDR, L

Occupational Therapist • Maple Grove, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Samantha Proctor, OTDR, L is a certified Occupational Therapist practicing in Maple Grove, MN. With approximately 2 years of clinical experience since completing medical education in 2024, Samantha Proctor delivers high-quality medical care to the local community at 9645 GROVE CIR N STE 200.

Samantha Proctor is affiliated with Interventional Spine And Pain Physicians Pa and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

9645 Grove Cir N Ste 200

Maple Grove, MN 553692684

Telephone 7632018191
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist in Maple Grove, MN

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -5.9 yrs vs City Avg
City Avg: 7.9 Yrs
State Avg: 13.8 Yrs
Regional Practice Density
43 Specialists

Practicing in Maple Grove, MN (3413 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Proctor (2 Years) 2 Yrs
Maple Grove Specialty Average (7.9 Years) 7.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-09-18
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

State License MN 107536

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Hospital & Practice Group Affiliations

Interventional Spine And Pain Physicians Pa

7767 Elm Creek Blvd N, Maple Grove, MN 553697078

Phone: 7632018191

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Christy Dauner , OT

Occupational Therapist

NPI 1053324632

Occupational Therapist

Mark Narveson , OT

Occupational Therapist

NPI 1073626123

Occupational Therapist

Heather Elder , OTR, L

Occupational Therapist

NPI 1093203275

Occupational Therapist Registered, L

Elizabeth Geiger , OTR, L

Occupational Therapist - Pediatrics

NPI 1093254559

Occupational Therapist Registered, L

Dr. Ronald Boeding , MD

Anesthesiology - Pain Medicine

NPI 1104093152

Doctor of Medicine (M.D.)

Jason Schultz

Occupational Therapist

NPI 1144260720

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location September 18, 2024

Registered at 9645 GROVE CIR N STE 200, MAPLE GROVE, MN 553692684 (Tel: 7632018191)

NPI Profile Active August 07, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2024

Registered at 16500 92ND AVE N, MAPLE GROVE, MN 553115444 (Tel: 7635757228)

📍
Updated Business Mailing Address August 07, 2024

Registered at 11117 HILLSBORO AVE N, CHAMPLIN, MN 553163128 (Tel: 7632284274)

👤
Provider Name / Credentials Updated August 07, 2024

Recorded as SAMANTHA PROCTOR, OTDR/L

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2024

Occupational Therapist (License #107536 in MN)

🟢
Initial NPI Registration & Enumeration August 07, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508696048
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2024
Last Update: September 18, 2024
Sole Proprietor: No

Mailing Address

11117 Hillsboro Ave N

Champlin, MN 553163128

Phone: 7632284274

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.