MEDICARE: DR. SAMANTHA ASHLEY MITCHELL OTD, OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XH1200X	Hand Occupational Therapist	14671	NC
2	225X00000X	Occupational Therapist	14671	NC

General Provider Information

NPI Number	:	1912650227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMANTHA ASHLEY MITCHELL OTD, OTR/L

Provider Business Mailing Address
First Line	:	2817 ROCK MERRITT AVE
Second Line	:
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-0001
Country	:	US
Telephone Number	:	910-907-8922
Fax Number	:	910-907-6069

Provider Business Practice Location Address
First Line	:	2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
Second Line	:
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-8974
Country	:	US
Telephone Number	:	973-454-9675
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2022
Last Update Date	:	12/29/2025

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