Individual provider Active NPI

Samantha Marie Fraser, DPT

  • Physical Therapist
  • Savannah, GA
National Provider Identifier
1013714823
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12772 Issued in SC
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

Updated by the provider on Dec 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250425000112 SC Practitioner - Physical Therapist in Private Practice 2961928650 Reassigns benefits to 1 organization
I20251028004094 NC Practitioner - Physical Therapist in Private Practice 2961928650 Reassigns benefits to 1 organization

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
Beaufort Orthopaedic Sports and Spine Center LLCGroup PAC ID 1355301771, 48 clinicians
Cornerstone Physical Therapy IncGroup PAC ID 1850477266, 16 clinicians

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

LicenseStateTypeSpecialty
PT018144GAMDPhysical Therapist
PTL26582MAMDPhysical Therapist
12772SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort Orthopaedic Sports and Spine Center LLC CurrentSince Feb 28, 2025 Accepting new patients
Cornerstone Physical Therapy, Inc Physical Therapist CurrentSince Sep 25, 2025 Accepting new patients
Beaufort Orthopaedic Sports and Spine Center LLC CurrentSince Feb 28, 2025 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.

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.

Verify at the official NPI Registry.