Samuel Brandt Peterson, OT, MOT
NPI 1376090118ActiveIndividual· Occupational Therapist· Harrisonville, MO
Occupational Therapist (OT, MOT) in Harrisonville, Missouri, licensed in MO and CA, with an NPI issued in September 2016.
Overview
| NPI | 1376090118 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OT, MOT |
| Sole proprietor | No |
| NPI issued | Sep 9, 2016 |
| Last updated in NPPES | Jun 18, 2021 |
| Certified by provider | Jun 18, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 2021023073 | MO |
| Occupational Therapist | 225X00000X | 363945 | — |
| Occupational Therapist | 225X00000X | 16730 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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