Samantha Marie Proctor, OTDR/L
Occupational Therapist · Maple Grove, MN
Samantha Marie Proctor, OTDR/L is an occupational therapist with a practice address in Maple Grove, Minnesota, and NPI 1508696048, issued on Aug 7, 2024. Check the license (Minnesota 107536, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Samantha Marie Proctor
- Credential
- OTDR/L
- Primary taxonomy
- Occupational Therapist 225X00000X
- License number
- 107536 MN
Self-reported in NPPES; status is on the state search - Practice location
- 9645 Grove Cir N Ste 200, Maple Grove, MN 55369
- Phone
- (763) 201-8191
- Enumerated
- Aug 7, 2024
- Record last updated
- Sep 18, 2024
- Medicare enrollment
- Enrolled (PECOS I20241004002646); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest occupational therapist records → All 3,382 in Minnesota → Look up another NPI →
Also registered at 9645 Grove Cir N Ste 200
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Jacob Forsythe, CNPAcute Care Nurse Practitioner1487332375
- Taylor Gilbertson, CNPFamily Nurse Practitioner1881416899
- Valerie LessardPhysician Assistant1689268740
Verify Samantha Marie Proctor in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 107536Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Interventional Spine And Pain Physicians PAMaple Grove, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Samantha Marie Proctor among 3,382 occupational therapist records in Minnesota
Samantha Marie Proctor, OTDR/L is one of 3,382 occupational therapist records with a practice address in Minnesota. 12% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 84% of them.
- NPI issued2024 · 84% of these records are older, 12% newer
- In a Medicare fileYes · 12% of these records are
- In the CMS Doctors and Clinicians fileYes · 15% of these records are
- Graduated2024 · median 2017 among the 517 with a school on file
- Record last updated2024 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225X00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
43 occupational therapist records list a practice address in Maple Grove
They are 43 of the 1,568 NPPES records with a practice address in Maple Grove, and 3,382 occupational therapist records in Minnesota.
All 3,382 in Minnesota → Every provider in Maple Grove → Occupational Therapist nationwide →
The 8 occupational therapist records with the nearest ZIP codes
- Danielle Athmann, OTR/LMaple Grove, MN 553691659929362
- Jenna BroihahnMaple Grove, MN 553691447878186
- Heather Elder, OTR/LMaple Grove, MN 553691093203275
- Elisabeth Groebel, OTR/LMaple Grove, MN 553691497111371
- Corey Hiben, OTMaple Grove, MN 553691427576784
- Steven Holladay, OTRLMaple Grove, MN 553691154911949
- Leah HtetMaple Grove, MN 553691689244501
- Mark Narveson, O.T.Maple Grove, MN 553691073626123
Common questions
What is Samantha Marie Proctor, OTDR/L's NPI number?
Samantha Marie Proctor, OTDR/L's National Provider Identifier (NPI) is 1508696048, issued on Aug 7, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Samantha Marie Proctor, OTDR/L located?
The NPPES record lists a practice address at 9645 Grove Cir N Ste 200, Maple Grove, MN, 55369. Phone: (763) 201-8191. Providers update this record themselves, so call before visiting.
How can I verify Samantha Marie Proctor, OTDR/L's license?
NPPES lists Minnesota license number 107536, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.