Samantha Keneisha McGowan
NPI 1689560054ActiveIndividual· Occupational Therapist· Glen Rock, NJ
Occupational Therapist with Sportsmed PT LLC, practicing in Glen Rock, New Jersey. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1689560054 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 13, 2025 |
| Last updated in NPPES | Oct 23, 2025 |
| Certified by provider | Oct 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 46TR01245700 | NJ |
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 (NJ) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Sportsmed PT LLCWayne, NJ · 181 clinicians
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All 15 occupational therapists in Glen Rock · All occupational therapists in New Jersey