Individual provider Active NPI

Samantha Lynn Barnas

  • Physical Therapist
  • Daytona Beach, FL
National Provider Identifier
1235820937
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40168 Issued in FL
Practice address
201 N Clyde Morris Blvd Ste 320
Daytona Beach, FL 32114-2765
Phone
(386) 236-7017
NPI assigned
May 15, 2023
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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 40168 FL Primary

Addresses

Primary practice location

201 N Clyde Morris Blvd Ste 320
Daytona Beach, FL 32114-2765

Mailing address

201 N Clyde Morris Blvd Ste 320
Daytona Beach, FL 32114-2765
Phone (386) 236-7017

Other names 1

  • Samantha Lynn Olson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40168FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beachside Physical Therapy Inc Physical Therapist CurrentSince May 15, 2023 Accepting new patients
Beachside Physical Therapy, Inc. Physical Therapist Current Accepting new patients
Beachside Physical Therapy, Inc Physical Therapist CurrentSince May 15, 2023 Accepting new patients
Genesis Health Development, Inc. PastSince Jul 21, 2024 Accepting new patients
H2 Rehabilitation Services of Florida LLC PastSince Sep 1, 2024 Accepting new patients

Locations

660 E Eau Gallie Blvd
Ste 106
Indian Harbour Beach, FL 32937
Phone (321) 773-5290

3680 N Wickham Rd
Ste B
Melbourne, FL 32935
Phone (321) 255-5500

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1235820937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N CLYDE MORRIS BLVD STE 320",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142765",
            "telephone_number": "386-236-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N CLYDE MORRIS BLVD STE 320",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142765",
            "telephone_number": "386-236-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNAS",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "40168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "OLSON",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.