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Deactivated NPI 1366959090 Deactivated / Inactive NPI Male Practitioner

Dr. Samuel David Colby , OTD, OTR, L, CSCS

Occupational Therapist • Bryan, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Samuel Colby has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 03, 2018
NPI Deactivation Date March 17, 2026
Total Practice Duration ~8 Years of Practice (2018 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Colby, OTD, OTR, L, CSCS was a registered Occupational Therapist practicing in Bryan, TX. Throughout an active medical career spanning 8 years, Dr. Colby provided care at the practice location at 1318 MEMORIAL DR until profile deactivation on 2026-03-17.

Practice Location & Contact Primary Location

Practice Address

1318 Memorial Dr

Bryan, TX 778025215

Telephone 9797762872
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist in Bryan, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
32 Specialists

Practicing in Bryan, TX (7791 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

Medical Specialties & State Licenses

CMS Verified: 2026-06-02
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

State License TX 126336

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jennifer Clark , COTA

Occupational Therapy Assistant

NPI 1003136821

Certified Occupational Therapy Assistant

Chelsea Smith , BCBA

Behavior Analyst

NPI 1033668520

Board Certified Behavior Analyst

NPI 1073809315

Doctor of Philosophy (Ph.D.)

Stephanie Gerow

Behavior Analyst

NPI 1073923728
Sheena Wells , COTA

Occupational Therapy Assistant

NPI 1093094500

Certified Occupational Therapy Assistant

NPI 1144519398

Master of Education, Board Certified Behavior Analyst

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location June 02, 2026

Registered at 1318 MEMORIAL DR, BRYAN, TX 778025215 (Tel: 9797762872)

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Updated Business Mailing Address June 02, 2026

Registered at 1318 MEMORIAL DR, BRYAN, TX 778025215 (Tel: 9797762872)

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Provider Name / Credentials Updated June 02, 2026

Recorded as SAMUEL COLBY, OTD, OTR/L, CSCS

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2026

Occupational Therapist (License #126336 in TX)

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Updated Practice Location April 22, 2026

Registered at 8550 E SHEA BLVD, SUITE 120, SCOTTSDALE, AZ 85260 (Tel: 4806253100)

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Updated Business Mailing Address April 22, 2026

Registered at 8550 E SHEA BLVD, SUITE 120, SCOTTSDALE, AZ 85260 (Tel: 4806253100)

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Provider Name / Credentials Updated April 22, 2026

Recorded as SAMUEL COLBY

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2026

Mechanotherapist

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NPI Profile Deactivated March 17, 2026

Record deactivated on March 17, 2026

NPI Profile Active January 03, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2018

Registered at 8550 E SHEA BLVD, SUITE 120, SCOTTSDALE, AZ 85260 (Tel: 4806253100)

📍
Updated Business Mailing Address January 03, 2018

Registered at 8550 E SHEA BLVD, SUITE 120, SCOTTSDALE, AZ 85260 (Tel: 4806253100)

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Provider Name / Credentials Updated January 03, 2018

Recorded as SAMUEL COLBY

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2018

Mechanotherapist

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Initial NPI Registration & Enumeration January 03, 2018

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: 1366959090
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2018
Last Update: June 02, 2026
Deactivation Date: March 17, 2026
Sole Proprietor: Yes

Mailing Address

1318 Memorial Dr

Bryan, TX 778025215

Phone: 9797762872

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.