Individual provider Active NPI

Samantha Stuck

  • Physical Therapist
  • Bellevue, NE
National Provider Identifier
1023964376
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4900 Issued in NE
Practice address
11511 S 42ND St Ste 106
Bellevue, NE 68123-1089
Phone
(402) 502-4678
Fax
(402) 933-9137
NPI assigned
Mar 9, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4900 NE Primary

Addresses

Primary practice location

11511 S 42ND St Ste 106
Bellevue, NE 68123-1089

Mailing address

1016 Hickory Hill Rd
Papillion, NE 68046-6227
Phone (402) 502-4678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260611001225 NE Practitioner - Physical Therapist in Private Practice 8123590007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Baylor College of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1016 Hickory Hill Rd
Papillion, NE 68046-6227

11511 S 42ND St
Suite 106
Bellevue, NE 68123-1089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4900NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve PC Physical Therapist CurrentSince Jun 2, 2026 Accepting new patients

Locations

11511 S 42nd St
Ste 106
Bellevue, NE 68123
Phone (402) 502-4678

Organizations & group practices 1

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": "1773014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1023964376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 HICKORY HILL RD",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680466227",
            "telephone_number": "402-502-4678",
            "fax_number": "402-933-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 S 42ND ST STE 106",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681231089",
            "telephone_number": "402-502-4678",
            "fax_number": "402-933-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCK",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.