Samantha Gerutta, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018583 Issued in MI

Practice address

3520 Green CT Ste 150
Ann Arbor, MI 48105-1595

Phone

(734) 239-8110

Fax

(734) 239-8111

NPI assigned

Apr 17, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Samantha Kang Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1306333265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 GREEN CT STE 150",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051595",
            "telephone_number": "734-239-8110",
            "fax_number": "734-239-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERUTTA",
        "first_name": "SAMANTHA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "KANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lily Shaw Gershenson, LMSW
• Jared Gershowitz, DO
• Rachel Gerson, MA, LLPC
• Jordan Clennell Gerster, DMD
• Geoffrey Gerstner, DDS, MS, PHD
• Laura L Gerweck, CRNA
• Andrew Stephen Gessert, D.C.
• Julie Gessler, MD
• Cherese Geter
• Barbara Kramer Getty, NP

• Physical Therapist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.