Samantha Kendall, DPT
Individual provider Active NPI Physical Therapist · O'Fallon, MO
NPI 1245611482 · NPPES record last updated Jun 16, 2015
Key facts
- NPI
- 1245611482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2013013587 (MO)
- Practice address
- 2002 Boardwalk Commons Drive
O'Fallon, MO 63368 - Phone
- (636) 561-7275
- NPI assigned
- Jun 12, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samantha Kendall | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2013013587 | MO | Yes |
Addresses
Primary practice location
2002 Boardwalk Commons Drive
O'Fallon, MO 63368
Mailing address
29 Greenfield Dr
Saint Peters, MO 63376-3013
Phone (618) 292-2780
Other providers in O'Fallon, MO
- Nichole Lee Houston
- Kelli Howe
- Didem O Ince
- Kristine Marie Jones
- Julie Przybyla Integrative Coaching, LLC
- Ayse Kilfoy
- L & P Corp.
- Lake St. Louis Chiropractic
- Lakeview Dental LLC
- Lifetime Dental Care of Missouri, Richard Straus, D.M.D., P.C.
All providers in O'Fallon, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.