Samantha Jo Boll, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12645-24 Issued in WI

Practice address

1200 Broadway St
Prairie Du Sac, WI 53578-2324

Phone

(608) 643-1800

NPI assigned

May 19, 2014

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

State licenses

Practice roles

Locations

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.

• Communication Innovations, LLC

  • Clinic/Center
  • Fitchburg, WI
  • NPI 1508033564
  NPD
• Cesa #3

  • Local Education Agency (LEA)
  • Fennimore, WI
  • NPI 1609042027
  NPD (past)
• Communication Innovations, Inc

  • Clinic/Center
  • Verona, WI
  • NPI 1548969330
  NPD (past)

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1083025522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 HANKSFIELD PL",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535781162",
            "telephone_number": "608-778-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROADWAY ST",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535782324",
            "telephone_number": "608-643-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 9th St",
            "address_purpose": "LOCATION",
            "city": "Prairie Du Sac",
            "state": "WI",
            "postal_code": "535781499",
            "country_code": "US",
            "telephone_number": "608-643-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 School St",
            "address_purpose": "LOCATION",
            "city": "Merrimac",
            "state": "WI",
            "postal_code": "535619584",
            "country_code": "US",
            "telephone_number": "608-643-1995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Industrial Dr",
            "address_purpose": "LOCATION",
            "city": "Fennimore",
            "state": "WI",
            "postal_code": "538099578",
            "country_code": "US",
            "telephone_number": "608-822-3276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLL",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12645-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Denise Bare-Inman
• Kristine A Bathke, MD
• Shana Becker-Lindow
• Nicole Carin Been, P.T.
• Laura Elizabeth Bixby, APNP
• Kelsey M Brady, MSW, LCSW
• Becki Jo Braund, PT
• Brigitta M D Brickl
• Diane L Buckley, COTA
• Mackenzie Lynn Bugg

• All providers in Prairie Du Sac, WI
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.