Samantha Blazer

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007224 Issued in CT

Practice address

220 Leavenworth Rd
Shelton, CT 06484-1809

Phone

(203) 803-4465

NPI assigned

Jul 15, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Strive2Livewell, LLC

  • Physical Therapy Clinic/Center
  • Shelton, CT
  • NPI 1073104303
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1023937729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 KENT LN",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111013",
            "telephone_number": "203-895-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LEAVENWORTH RD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064841809",
            "telephone_number": "203-803-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZER",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Birch Meadow Health PC
• Bishop Wicke
• Bishop Wicke Health and Rehabilitation Center Inc
• Ballard Glenn Blair, D.P.M
• Shakeya Tyneice Blakes
• Mark H Blechner, M.D.
• Bloom Wellness Center
• Kerri Lynn Bologna
• Patricia Anne Bolton, APN-C
• Amanda Rose Bongiorno

• Physical Therapist in Shelton, CT
• Providers in Shelton, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.