Active NPI
Samantha Marie Fraser, DPT
- Physical Therapist
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12772
- Practice address
- 111 Jazie Dr Ste E
Savannah, GA 31410-1908 - Phone
- (912) 898-7714
- Fax
- (912) 898-7715
- NPI assigned
- Feb 27, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT018144 | GA | |
| Physical Therapist | 225100000X | 12772 | SC | Primary |
| Physical Therapist | 225100000X | PTL26582 | MA |
Addresses
Primary practice location
111 Jazie Dr Ste E
Savannah, GA 31410-1908
Mailing address
111 Jazie Dr Ste E
Savannah, GA 31410-1908
Phone (912) 898-7714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1076 Ribaut Rd
Suite 101
Beaufort, SC 29902-5477
Phone (843) 525-0045
39 Hospital Ctr CMNS
Hilton Head Island, SC 29926-2837
Phone (843) 681-2363
600 Julian LN
Suite 660
Arden, NC 28704-7815
Phone (828) 684-3611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT018144 | GA | MD | Physical Therapist |
| PTL26582 | MA | MD | Physical Therapist |
| 12772 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort Orthopaedic Sports and Spine Center LLC | Current | Accepting new patients | |
| Cornerstone Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Beaufort Orthopaedic Sports and Spine Center LLC | Current | Accepting new patients | |
| Effingham Rehab Services, LLC | Past | Accepting new patients |
Locations
600 Julian Ln
Ste 660
Arden, NC 28704
Phone (828) 684-3611
1076 Ribaut Rd
Ste 101
Beaufort, SC 29902
Phone (843) 525-0045
39 Hospital Center Cmns
Hilton Head Island, SC 29926
Phone (843) 681-2363
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Beaufort, SC
- NPI 1982765160
-
- Physical Therapist
- Arden, NC
- NPI 1417133679
-
- Orthopaedic Surgery Physician
- Bluffton, SC
- NPI 1497412019
-
- Rehabilitation Clinic/Center
- Savannah, GA
- NPI 1457874976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767139200000",
"number": "1013714823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 JAZIE DR STE E",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314101908",
"telephone_number": "912-898-7714",
"fax_number": "912-898-7715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 JAZIE DR STE E",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314101908",
"telephone_number": "912-898-7714",
"fax_number": "912-898-7715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASER",
"first_name": "SAMANTHA",
"middle_name": "MARIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-27",
"last_updated": "2025-12-31",
"certification_date": "2025-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT018144",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "12772",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "PTL26582",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.