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NPISignal

Individual Healthcare Provider

Samantha Mitchell, COTA/L

NPI Record: ActiveTechnician — Personal Care Attendant
NPI1063795318
Sumter, South Carolina

Provider's NPPES record last updated: April 29, 2021

Overview

Entity Type
Individual Healthcare Provider
NPI
1063795318
Primary Specialty
Technician — Personal Care Attendant
Practice Location
Sumter, South Carolina
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 2:41 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Technician

    Personal Care Attendant

    Nursing Service Related Providers

    Primary

    An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

    Taxonomy code 3747P1801X
  • Occupational Therapy Assistant

    Respiratory, Developmental, Rehabilitative and Restorative Service Providers

    An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

    Taxonomy code 224Z00000X

Provider-Reported License Information

Technician (South Carolina)
ICHP-1466
Occupational Therapy Assistant (South Carolina)
2706
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

634 Bultman Dr Ste B

Sumter, South Carolina 29150-2597

Phone: (803) 757-1201

Additional Practice Location

20 Mesquite Cv

Sumter, South Carolina 29153-8404

Phone: (803) 795-6870

Record Information

Enumeration Date
September 22, 2011
Provider's NPPES Record Last Updated
April 29, 2021
Certification Date
April 29, 2021
NPISignal NPPES Dataset
August 2026

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