Individual provider Active NPI

Samantha Cheyenne Childress, DPT

  • Physical Therapist
  • North Richland Hills, TX
National Provider Identifier
1114759347
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP051723T Issued in NC
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

Updated by the provider on Mar 23, 2026

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 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

Enrollment IDStateProvider typePAC IDDetails
I20260121000521 NC Practitioner - Physical Therapist in Private Practice 7416478870 Reassigns benefits to 1 organization

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
Breakthrough Physical Therapy IncGroup PAC ID 9234274754, 110 clinicians

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

LicenseStateTypeSpecialty
CP051723TNCMDPhysical Therapist
15978TNMDPhysical Therapist
CP046454TTXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Physical Therapy Inc Physical Therapist CurrentSince Dec 17, 2025 Accepting new patients
Breakthrough Physical Therapy Physical Therapist PastSince Dec 17, 2025 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.

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.

Verify at the official NPI Registry.