Individual provider Active NPI

Samantha A Perry, PT, DPT

  • Physical Therapist
  • Casa Grande, AZ
National Provider Identifier
1285114165
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-30098 Issued in AZ
Practice address
580 N Camino Mercado Ste 25
Casa Grande, AZ 85122-5757
Phone
(855) 331-7522
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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 LPT-30098 AZ Primary

Addresses

Primary practice location

580 N Camino Mercado Ste 25
Casa Grande, AZ 85122-5757

Mailing address

1361 S Greenfield Rd Apt 2016
Mesa, AZ 85206-3393
Phone (331) 229-6299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181107000611 AZ Practitioner - Physical Therapist in Private Practice 5294089439 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harvest Physical Therapy, LLC Physical Therapist CurrentSince Aug 14, 2018 Accepting new patients
The Pelvic Docs, LLC Physical Therapist PastSince Jun 25, 2023 Accepting new patients

Locations

1377 E Florence Blvd
Ste 151-L5
Casa Grande, AZ 85122
Phone (520) 836-8621

580 N Camino Mercado
Ste 25
Casa Grande, AZ 85122
Phone (520) 836-8621

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": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1285114165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 S GREENFIELD RD APT 2016",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063393",
            "telephone_number": "331-229-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 N CAMINO MERCADO STE 25",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225757",
            "telephone_number": "855-331-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "SAMANTHA",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-30098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.