Ami Marie Gydesen, OTR
NPI 1093811549ActiveIndividual· Occupational Therapist· Watertown, NY
Occupational Therapist (OTR) with Samaritan Medical Practice PC, practicing in Watertown, New York. Medicare paid $7,909 for services to 23 patients in 2024.
Overview
| NPI | 1093811549 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR |
| Sole proprietor | No |
| NPI issued | Sep 15, 2006 |
| Last updated in NPPES | Apr 23, 2024 |
| Certified by provider | Apr 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 0058651 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 384 across 5 procedure codes |
| Paid by Medicare | $7,909 |
Education and affiliations
| Graduation year | 1992 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Samaritan Medical Practice PCWatertown, NY · 29 clinicians
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