MRS. SAMANTHA MARIE PANGBORN (NPI# 1891359311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891359311 |
| Entity Type | Individual |
| Full Name | MRS. SAMANTHA MARIE PANGBORN |
| Credential | PT, DPT, MS |
| Practice Address |
4805 S Moorland Rd New Berlin WI 53151-7401 |
| Mailing Address |
3642 S 83rd St Milwaukee WI 53220-1030 |
| Practice Telephone | 2627987200 |
| Mailing Telephone | 4145887187 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 14658-24 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7901 S 6th St, Oak Creek, WI 531542010 | 4143468000 |
| Street Address |
4805 S MOORLAND RD |
| City | NEW BERLIN |
| State | WI |
| Zip Code | 53151-7401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649268061 | Roger William Beaumont | Family Medicine | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2005-10-10 |
| 1730710898 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2020-01-28 |
| 1376027664 | Brooke Fula | Nurse Practitioner | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2018-09-21 |
| 1669951737 | Rachel Kriz | Nurse Practitioner | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2018-08-09 |
| 1225534605 | Cynthia Louise Shicotte | Speech-Language Pathologist | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2018-04-04 |
| 1073046520 | Bryan Beaumont | Family Medicine | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2017-04-11 |
| 1730635657 | Froedtert & The Medical College of Wisconsin Community Physicians, Inc | Durable Medical Equipment & Medical Supplies | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2016-08-31 |
| 1912452533 | Adam Edward Carow | Physical Therapist | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2016-08-24 |
| 1104284025 | Emily Jacobson | Physical Therapist | 4805 S Moorland Rd, Moorland Reserve Health Center, New Berlin, WI 53151-7401 | 2016-02-05 |
| 1174902589 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Clinical Medical Laboratory | 4805 S Moorland Rd, New Berlin, WI 53151-7401 | 2015-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629527486 | Natural Look Salon and Wigs LLC | Durable Medical Equipment & Medical Supplies | 4805 S. Moorland Rd, New Berlin, WI 53151 | 2016-09-22 |
| 1396193033 | New Berlin Medical Services, LLC | Clinic/Center | 15324 W Beloit Road, New Berlin, WI 53151 | 2016-06-02 |
| 1063899680 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 15300 West Grange Avenue, New Berlin, WI 53151 | 2015-05-04 |
| 1871970368 | Mary Spath | Physical Therapy Assistant | 2810 South Acredale Road, New Berlin, WI 53151 | 2015-05-04 |
| 1669885471 | Wauwatosa Prescription Center, Inc. | Pharmacy | 4855 S Moorland Road, New Berlin, WI 53151 | 2014-06-09 |
| 1750711446 | Pure Family Chiropractic LLC | Chiropractor | 3504 S. Moorland Road, New Berlin, WI 53151 | 2013-11-18 |
| 1336578202 | Hamilton John Dowden | Chiropractor | 3504 S Moorland Rd, New Berlin, WI 53151 | 2013-11-01 |
| 1053653618 | Danielle Lynn Lucio | Acupuncturist | 15807 W. National Ave., New Berlin, WI 53151 | 2013-03-21 |
| 1306195110 | Marlena J Friedrich | Registered Nurse | 1709 S. 171st Street, New Berlin, WI 53151 | 2012-09-07 |
| 1548519176 | Patricia M Friedrich | Licensed Practical Nurse | 1709 So. 171st Street, New Berlin, WI 53151 | 2012-08-29 |
| Find all providers in zip 53151 | ||||
| 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 |
|---|---|---|---|---|
| 1104393982 | Fastback Physical Therapy LLC | Physical Therapist | 3333 S Sunnyslope Rd Ste 103b, New Berlin, WI 53151-4504 | 2018-10-30 |
| 1811410426 | Lauren C Strommen | Physical Therapist | 14999 W Beloit Rd Ste B, New Berlin, WI 53151-7438 | 2017-07-25 |
| 1184001497 | Kelsa Rubeck | Physical Therapist | 1505 S Coachlight Dr Apt 19, New Berlin, WI 53151-9119 | 2015-05-06 |
| 1205181963 | Monica Suzanne Huffman | Physical Therapist | 14397 W Loami Rd, New Berlin, IL 62670-4406 | 2012-07-18 |
| 1215182530 | Sarah Merrill | Physical Therapist | 5755 S Vista Ct, New Berlin, WI 53146-5037 | 2008-12-01 |
| 1306019690 | Lynn Ann Steffes | Physical Therapist | 12660 W Cherrytree Ln, New Berlin, WI 53151-7600 | 2008-04-08 |
| 1750554259 | Susan Ann Dorlack | Physical Therapist | 13530 W Deer Park Ct, New Berlin, WI 53151-8776 | 2008-04-07 |
| 1699984740 | Melinda Kathryn Mazurek | Physical Therapist | 5374 Balboa Dr, New Berlin, WI 53151-8112 | 2007-05-22 |
| 1982728515 | Carol Grgic | Physical Therapist | 3565 S Oakdale Dr, New Berlin, WI 53151-5325 | 2007-03-19 |
| 1760530422 | Rhonda S Funke | Physical Therapist | 15312 W Beloit Rd, New Berlin, WI 53151 | 2007-01-08 |
| Find all providers in NEW BERLIN | ||||
| City | NEW BERLIN |
| Zip Code | 53151 |
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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.