Active NPI
Samantha Hale, PT, DPT
- Physical Therapist
- Salt Lake City, UT
National Provider Identifier
1184504276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14176938-2401
- Practice address
- 124 S 400 E Ste 230
Salt Lake City, UT 84111-5313 - Phone
- (385) 644-1200
- NPI assigned
- Sep 8, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14176938-2401 | UT | Primary |
Addresses
Primary practice location
124 S 400 E Ste 230
Salt Lake City, UT 84111-5313
Mailing address
124 S 400 E Ste 230
Salt Lake City, UT 84111-5313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Pasadena, CA 91189
PO Box
Suite 104341
Pasadena, CA 91189-0406
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Origin Physical Therapy FL PLLC | Physical Therapist | Current | Accepting new patients |
Locations
124 S 400 E
Ste 230
Salt Lake City, UT 84111
Phone (801) 597-5686
455 E 200 S
Ste 110
Salt Lake City, UT 84111
Phone (801) 359-4951
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": "1757289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1184504276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 S 400 E STE 230",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841115313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 S 400 E STE 230",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841115313",
"telephone_number": "385-644-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "SAMANTHA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-08",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "14176938-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.