Individual provider Active NPI

Samantha Anne Purcell, PT, DPT

  • Physical Therapist
  • Wilmington, NC
National Provider Identifier
1336970615
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23649 Issued in NC
Practice address
1409 Audubon Blvd
Wilmington, NC 28403-6749
Phone
(910) 392-2240
NPI assigned
Aug 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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 P23649 NC Primary

Addresses

Primary practice location

1409 Audubon Blvd
Wilmington, NC 28403-6749

Mailing address

1300 Bridge Barrier Rd Ste 3
Carolina Beach, NC 28428-3939
Phone (910) 636-3574

Other practice location 1

1300 Bridge Barrier Rd Ste 3
Carolina Beach, NC 28428-3939
Phone (910) 636-3574

Other practice location 2

10455 Orthopaedic Dr
Newburgh, IN 47630-7955
Phone (181) 242-4929

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05015691AINMDPhysical Therapist
P23649NCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1336970615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BRIDGE BARRIER RD STE 3",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284283939",
            "telephone_number": "910-636-3574",
            "fax_number": "910-636-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 AUDUBON BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036749",
            "telephone_number": "910-392-2240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Bridge Barrier Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Carolina Beach",
            "state": "NC",
            "postal_code": "284283939",
            "country_code": "US",
            "telephone_number": "910-636-3574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10455 Orthopaedic Dr",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476307955",
            "country_code": "US",
            "telephone_number": "181-242-4929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "SAMANTHA",
        "middle_name": "ANNE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.