Healthcare Provider Details

I. General information

NPI: 1093154981
Provider Name (Legal Business Name): SAMANTHA BRIANNA PLEASANT WASHINGTON MSOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2013
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

812 MURROW CT
FAIRBURN GA
30213-4607
US

IV. Provider business mailing address

345 PARKWOOD WAY
JONESBORO GA
30236-1321
US

V. Phone/Fax

Practice location:
  • Phone: 770-407-9034
  • Fax:
Mailing address:
  • Phone: 470-896-4125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT007661
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number125344
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code225XR0403X
TaxonomyDriving and Community Mobility Occupational Therapist
License NumberOT007661
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code225XE0001X
TaxonomyEnvironmental Modification Occupational Therapist
License NumberOT007661
License Number StateGA
# 5
Primary TaxonomyN
Taxonomy Code225XE1200X
TaxonomyErgonomics Occupational Therapist
License NumberOT007661
License Number StateGA
# 6
Primary TaxonomyN
Taxonomy Code225XL0004X
TaxonomyLow Vision Occupational Therapist
License NumberOT007661
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: