MR. SAMUEL QUINTANA – Occupational Therapist, NPI 1134484637

MR. SAMUEL QUINTANA is a healthcare provider. based in Davenport, Florida. specializing in Occupational Therapist. They hold a License No. OT20455 (FL). The NPI Number for MR. SAMUEL QUINTANA is 1134484637

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. SAMUEL QUINTANA
NPI
1134484637
Phone
(718) 614-3503
Address
355 THOUSAND OAKS BLVD
Enumeration Date
10 July 2012
Last Update Date
26 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7278031102
Graduation Year
2012 (14 years ago)
PAC ID
6709162282
Group Practice PAC ID
3971730615
Professional Enrollment ID
I20200918000053
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for MR. SAMUEL QUINTANA

  • 355 THOUSAND OAKS BLVD

    DAVENPORT, FL 338968124

    Phone: (718) 614-3503

    Type: Mailing

  • 13406 PALOMA DR

    ORLANDO, FL 328378730

    Phone: (718) 614-3503

    Type: Mailing

  • 24432 HORACE HARDING EXPY

    DOUGLASTON, NY 113621910

    Phone: (718) 229-7899

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200918000053IOccupational Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities1,03149$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes91352$0
97535Training for self-care or home management, each 15 minutes36950$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes11613$0
97166Evaluation for occupational therapy, typically 45 minutes4441$0
View full utilization report →

Insurance plans in this area (ZIP 33896)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971730615View full group profile

Reviews

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Frequently asked questions

What NPI should I save for MR. SAMUEL QUINTANA?
Save NPI 1134484637 if you need a stable reference for MR. SAMUEL QUINTANA.
Is MR. SAMUEL QUINTANA active in the national directory?
MR. SAMUEL QUINTANA's public NPI profile is in an active state.
What field does MR. SAMUEL QUINTANA work in?
You can think of MR. SAMUEL QUINTANA as practicing within Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where is MR. SAMUEL QUINTANA's primary listing?
We display Davenport, Florida because that is what the record indicates for MR. SAMUEL QUINTANA.
How can I contact MR. SAMUEL QUINTANA?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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