DELISA SAMUELS (OTR) – Occupational Therapist, NPI 1124818794

DELISA SAMUELS (OTR) is a healthcare provider. based in Texas city, Texas. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. They hold a License No. 114715 (TX). The NPI Number for DELISA SAMUELS (OTR) is 1124818794

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DELISA SAMUELS (OTR)
NPI
1124818794
Phone
(409) 939-4068
Address
230 S ROSE ST
Enumeration Date
8 May 2025
Last Update Date
8 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3522497128
Graduation Year
2011 (15 years ago)
PAC ID
6103344312
Group Practice PAC ID
9032552559
Professional Enrollment ID
I20250520004159
Address ID
TX775732924LE500XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

825 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for DELISA SAMUELS (OTR)

  • 230 S ROSE ST

    TEXAS CITY, TX 775913859

    Phone: (409) 939-4068

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2025-05-20

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
I20250520004159IOccupational Therapist In Private PracticeTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77591)

Loading plans...

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: 9032552559View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeFL
Qualified Speech Language PathologistFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for DELISA SAMUELS (OTR)?
Save NPI 1124818794 if you need a stable reference for DELISA SAMUELS (OTR).
Is DELISA SAMUELS (OTR)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DELISA SAMUELS (OTR) work in?
You can think of DELISA SAMUELS (OTR) as practicing within Occupational Therapist. Clinical services aligned with this taxonomy classification.
What location shows for DELISA SAMUELS (OTR)?
We surface Texas City, Texas for DELISA SAMUELS (OTR) based on available NPPES addresses.
Is DELISA SAMUELS (OTR) a real provider?
This page reflects official NPPES data for NPI 1124818794. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

6501, Memorial Drive, Texas City, Galveston County, Texas, 77591, United States
NPI: 1871660076

LARISSA J ELLIS DUCK (OT)

Occupational Therapist
1901 N AMBURN RD
NPI: 1245542141
5011 OAK LN
NPI: 1376830448

ERRICK L RATLIFF (OT)

Occupational Therapist
2222 SULLIVAN TRL
NPI: 1346584521

MRS. PAULA MCCOMB (OTR)

Occupational Therapist
1901 N AMBURN RD
NPI: 1396175303

TRISHA BRYANT

Occupational Therapist
2801 FM 2004 RD APT 1303
NPI: 1457763971

LORI G FOLSE (OT)

Occupational Therapist
4205 BLACKHAWK DR
NPI: 1740160936

MELISSA LEAL (OTR/L, OTD)

Occupational Therapist
310 ODYSSEY DR
NPI: 1487529624