Healthcare Provider Details

I. General information

NPI: 1578218319
Provider Name (Legal Business Name): SAMANTHA HECHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAMANTHA COOTNER

II. Dates (important events)

Enumeration Date: 02/21/2022
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14214 U ST
OMAHA NE
68137-2629
US

IV. Provider business mailing address

17659 J ST
OMAHA NE
68135-3602
US

V. Phone/Fax

Practice location:
  • Phone: 402-934-9722
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: