DR. SAMANTHA LARSON ANELLO (NPI# 1043659063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043659063 |
| Entity Type | Individual |
| Full Name | DR. SAMANTHA LARSON ANELLO |
| Credential | DPT |
| Practice Address |
3316 3rd St S Suite 104 Jacksonville Beach FL 32250-6073 |
| Mailing Address |
1763 Sunset Dr Jacksonville Beach FL 32250-2983 |
| Practice Telephone | 9046858109 |
| Practice Fax Number | 9042490907 |
| Mailing Telephone | 9048592978 |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2013-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT27903 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3316 3RD ST S SUITE 104 |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250-6073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801883582 | Jacksonville Beaches Medical Imaging Inc | Clinic/Center | 3316 3rd St S, Suite 101, Jacksonville Beach, FL 32250-6073 | 2005-09-29 |
| 1578085379 | Melissa S Palmer | Dentist | 3316 3rd St S, Jacksonville Beach, FL 32250-6073 | 2017-07-13 |
| 1326488255 | Adler Podiatry Clinic Pllc | Podiatrist | 3316 3rd St S, Suite 201, Jacksonville Beach, FL 32250-6073 | 2013-06-25 |
| 1922370618 | Adler Podiatry Clinic Pllc | Podiatrist | 3316 3rd St S, Ste 201, Jacksonville Beach, FL 32250-6073 | 2012-01-27 |
| 1174781744 | Jacksonville Beaches Anesthesia Associates, Inc. | Nurse Anesthetist, Certified Registered | 3316 3rd St S, Suite # 200, Jacksonville Beach, FL 32250-6073 | 2008-05-29 |
| 1316032204 | Charles Steven Lancaster | Optometrist | 3316 3rd St S, Suite 103, Jacksonville Beach, FL 32250-6073 | 2006-10-04 |
| 1033200241 | Atlantic Eye Institute, P.a. | Optometrist | 3316 3rd St S, Suite 103, Jacksonville Beach, FL 32250-6073 | 2006-09-27 |
| 1336240688 | Richard L Simmons | Ophthalmology | 3316 3rd St S, Suite 103, Jacksonville Beach, FL 32250-6073 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265567408 | Robert Alan Coltman | Physical Therapist | 2370-2 3rd St S, Jacksonville Beach, FL 32250-4023 | 2007-02-21 |
| 1942549316 | Laura Tomino | Physical Therapist | 2344 3rd St S, Jacksonville Beach, FL 32250-4023 | 2013-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422064 | Purpose Physical Therapy and Wellness, LLC | Physical Therapist | 3369 10th St N, St Petersburg, FL 33704-1205 | 2020-09-16 |
| 1114532074 | Rezalo Health & Performance | Physical Therapist | 27402 Bonterra Loop Apt 401, Wesley Chapel, FL 33544-5165 | 2020-09-08 |
| 1578173217 | Katherine Herzfeld | Physical Therapist | 2954 Mallory Cir Ste 110, Celebration, FL 34747-1820 | 2020-08-07 |
| 1447875331 | Janelle Marie Fleites | Physical Therapist | 6190 Sw 116th St, Pinecrest, FL 33156-4957 | 2020-06-16 |
| 1154944155 | University of Central Florida | Physical Therapist | 4098 Libra Dr Ste 114, Orlando, FL 32816-8026 | 2020-05-26 |
| 1164044590 | Prestige Health & Performance | Physical Therapist | 20354 Chestnut Grove Dr, Tampa, FL 33647-3344 | 2020-05-07 |
| 1295356491 | Complex Somi LLC | Physical Therapist | 5829 Sw 73rd St Ste 2, South Miami, FL 33143-5276 | 2020-04-29 |
| 1952939043 | Fix It Physical Therapy, LLC | Physical Therapist | 8262 Griffin Rd, Davie, FL 33328-3715 | 2020-04-01 |
| 1649806449 | Korbin Joseph Keene | Physical Therapist | 1053 Medical Center Dr Ste 151, Orange City, FL 32763-8261 | 2020-03-13 |
| 1740814391 | Jessy Chang | Physical Therapist | 8615 S Tamiami Trl # 1, Sarasota, FL 34238-3052 | 2020-02-22 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
Please comment or provide details below to improve the information on DR. SAMANTHA LARSON ANELLO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.