Individual provider Active NPI

Samantha Huebner, DPT

  • Physical Therapist
  • Carolina Beach, NC
National Provider Identifier
1295127157
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15482 Issued in NC
Practice address
1300 Bridge Barrier Rd
Building 3
Carolina Beach, NC 28428-3938
Phone
(910) 458-8884
NPI assigned
Mar 2, 2015
Last updated
Mar 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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 15482 NC Primary

Addresses

Primary practice location

1300 Bridge Barrier Rd
Building 3
Carolina Beach, NC 28428-3938

Mailing address

1300 Bridge Barrier Rd
Building 3
Carolina Beach, NC 28428-3938

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170609001676 CT Practitioner - Physical Therapist in Private Practice 4082934039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15482NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Women's Wellness Current Accepting new patients
Integrated Rehabilitation Services, LLC Physical Therapist PastSince Mar 18, 2019 Accepting new patients
Performance Physical Therapy & Sports Medicine, Inc Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1295127157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BRIDGE BARRIER RD",
            "address_2": "BUILDING 3",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284283938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BRIDGE BARRIER RD",
            "address_2": "BUILDING 3",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284283938",
            "telephone_number": "910-458-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEBNER",
        "first_name": "SAMANTHA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "15482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina Beach, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.