SAMANTHA PETERSON (NPI# 1245649268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245649268 |
| Entity Type | Individual |
| Full Name | SAMANTHA PETERSON |
| Practice Address |
4101 Raeford Rd Fayetteville NC 28304-4114 |
| Mailing Address |
3798 Man O War Blvd Clarksville TN 37042-4880 |
| Practice Telephone | 9106439497 |
| Mailing Telephone | 3203106289 |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2014027151 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 650 Joel Dr, Fort Campbell, KY 422235318 | 2704611134 | |
| 3518 Laclede Ave, Saint Louis, MO 631032011 | 3149777419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790146 | Samantha Maree Peterson | Speech-Language Pathologist | 2850 Columbine Rd, Denver, CO 80221-7600 | 2020-11-03 |
| 1619584190 | Samantha Peterson | Counselor | 1717 Swede Rd Ste 212, Blue Bell, PA 19422-3372 | 2020-09-28 |
| 1386129195 | Samantha Michelle Peterson | Nurse Practitioner | 10023 S Us Highway 1, Port St Lucie, FL 34952-5643 | 2018-09-27 |
| 1497231369 | Samantha Peterson | Dietitian, Registered | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2018-07-13 |
| 1659803823 | Samantha Peterson | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2017-03-28 |
| 1033668629 | Samantha Peterson | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2016-09-24 |
| 1497125835 | Samantha Lea Peterson | Pharmacist | 401 2nd St, Ida Grove, IA 51445-1302 | 2015-09-28 |
| 1982941621 | Samantha Mary Peterson | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2013-01-15 |
| Street Address |
4101 RAEFORD RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-4114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235324229 | Curtis Elliott Sr. | Physical Therapy Assistant | 4101 Raeford Rd, Fayetteville, NC 28304-4114 | 2007-09-12 |
| 1942550405 | Kelly Black | Occupational Therapist | 4101 Raeford Rd, Fayetteville, NC 28304-4114 | 2012-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602178 | Ryan Matthew Derby | Physical Therapist | 1191 Fordham Drive, Suite 102, Fayetteville, NC 28304-3774 | 2020-09-03 |
| 1649882705 | P4 Physical Therapy - Fayetteville, LLC | Physical Therapist | 1229 Huntsville Hwy Ste B, Fayetteville, TN 37334-3685 | 2020-08-20 |
| 1295352136 | Jessica Czarnecki | Physical Therapist | 2668 E Citizens Dr Ste 4, Fayetteville, AR 72703-4796 | 2020-06-26 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1245870187 | Patricia Jean Boehlert | Physical Therapist | 4401 Medical Center Dr Ste 401, Fayetteville, NY 13066-6603 | 2020-01-08 |
| 1427691617 | Brandon Merrick | Physical Therapist | 13917 Hickory Trce, Fayetteville, AR 72704-8417 | 2019-10-21 |
| 1841847936 | Abigail Weiskopf | Physical Therapist | 2350 Bentridge Ln Suite 102, Fayetteville, NC 28304-0591 | 2019-08-22 |
| 1932755766 | Jonathan Cole Vaughn | Physical Therapist | 2793 E Millennium Pl Ste 2, Fayetteville, AR 72703-6522 | 2019-08-16 |
| 1205395944 | Sharon Branch | Physical Therapist | 125 Franklin Farms Cir, Fayetteville, GA 30214-3361 | 2019-03-12 |
| 1043796881 | Travis Alexander | Physical Therapist | 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 | 2018-07-16 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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| 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.