Active NPI
Samantha Cheyenne Childress, DPT
- Physical Therapist
- North Richland Hills, TX
National Provider Identifier
1114759347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP051723T
- Practice address
- 8700 N Tarrant Pkwy Ste 113
North Richland Hills, TX 76182-8464 - Phone
- (817) 498-8344
- Fax
- (817) 498-4008
- NPI assigned
- Aug 16, 2024
- 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 | CP051723T | NC | Primary |
| Physical Therapist | 225100000X | 15978 | TN | |
| Physical Therapist | 225100000X | CP046454T | TX |
Addresses
Primary practice location
8700 N Tarrant Pkwy Ste 113
North Richland Hills, TX 76182-8464
Mailing address
1003 Barren Springs Rd
Hollow Rock, TN 38342-3066
Phone (731) 358-9446
Other practice location 1
3100 Olympus Blvd Ste 500
Dallas, TX 75019-5473
Phone (866) 221-5405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
303 N 35TH St
Morehead City, NC 28557-3105
Phone (252) 247-2738
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP051723T | NC | MD | Physical Therapist |
| 15978 | TN | MD | Physical Therapist |
| CP046454T | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breakthrough Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Breakthrough Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
303 N 35th St
Morehead City, NC 28557
Phone (252) 247-2738
Organizations & group practices 2
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.
-
- Physical Therapist
- Cary, NC
- NPI 1558598532
-
- Physical Therapist
- Morehead City, NC
- NPI 1083937692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1114759347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 BARREN SPRINGS RD",
"city": "HOLLOW ROCK",
"state": "TN",
"postal_code": "383423066",
"telephone_number": "731-358-9446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 N TARRANT PKWY STE 113",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "761828464",
"telephone_number": "817-498-8344",
"fax_number": "817-498-4008"
}
],
"practiceLocations": [
{
"address_1": "3100 Olympus Blvd Ste 500",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "750195473",
"country_code": "US",
"telephone_number": "866-221-5405",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHILDRESS",
"first_name": "SAMANTHA",
"middle_name": "CHEYENNE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-16",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "CP051723T",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "15978",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "CP046454T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Richland Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.