SAMANTHA HELSLEY (OTR/L) – Occupational Therapist, NPI 1124844212

SAMANTHA HELSLEY (OTR/L) is a healthcare provider. based in Manassas, Virginia. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. 0119010725 (VA). The NPI Number for SAMANTHA HELSLEY (OTR/L) is 1124844212

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA HELSLEY (OTR/L)
NPI
1124844212
Phone
(571) 762-0751
Address
9852 Fairmont Ave
Enumeration Date
23 November 2024
Last Update Date
4 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5714918887
Graduation Year
2024 (2 years ago)
PAC ID
0244769255
Group Practice PAC ID
2163954314
Professional Enrollment ID
I20250121001458
Address ID
VA220036062AN5101XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

528 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in VA

Provider Addresses for SAMANTHA HELSLEY (OTR/L)

  • 9852 Fairmont Ave

    Manassas, VA 201093176

    Phone: (571) 762-0751

    Type: Location

  • 5005 Strauss Ct

    Fredericksburg, VA 224077776

    Phone: (540) 841-4215

    Type: Location

  • 5005 STRAUSS CT

    FREDERICKSBURG, VA 224077776

    Phone: (540) 841-4215

    Type: Mailing

  • 2765 RICHMOND HWY STE 203

    STAFFORD, VA 225548331

    Phone: (540) 446-5323

    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: 2025-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20250121001458IOccupational Therapist In Private PracticeDCTBD
I20251023004417IOccupational Therapist In Private PracticeVATBD

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 20109)

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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: 2163954314View full group profile
NameSpecialtyState
Qualified Speech Language PathologistVA
Qualified Speech Language PathologistFL
Occupational Therapist In Private PracticeVA
Occupational Therapist In Private PracticeVA
Occupational Therapist In Private PracticeFL
Qualified Speech Language PathologistNY
Qualified Speech Language PathologistND
Occupational Therapist In Private PracticeVA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeAL

Reviews

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Frequently asked questions

How do payers reference SAMANTHA HELSLEY (OTR/L)?
For SAMANTHA HELSLEY (OTR/L), use NPI 1124844212 as the unique 10-digit identifier.
Would SAMANTHA HELSLEY (OTR/L) appear as active to a payer?
You can treat SAMANTHA HELSLEY (OTR/L) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe SAMANTHA HELSLEY (OTR/L)'s focus?
For SAMANTHA HELSLEY (OTR/L), the primary taxonomy reads as Occupational Therapist. Clinical services aligned with this taxonomy classification.
Is SAMANTHA HELSLEY (OTR/L) associated with Manassas?
Public fields place SAMANTHA HELSLEY (OTR/L) around Manassas, Virginia. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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