Samantha L Abts, DPT

Individual provider Active NPI Physical Therapist · De Pere, WI

NPI 1346728847 · NPPES record last updated Jul 11, 2024

Key facts

NPI
1346728847
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
14331-24 (WI)
Practice address
3860 Monroe Rd
De Pere, WI 54115-8399
Phone
(920) 496-4700
NPI assigned
Aug 6, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 19

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Hospital-Hospital Sisters-Third Order of St Francis (593 clinicians)

Practice addresses (Care Compare)

1821 S Webster Ave
Green Bay, WI 54301-2253
Phone (920) 496-4700

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100 (apm)
Quality
85.98
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180828001294 WI Practitioner - Physical Therapist in Private Practice 7113276973 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
14331-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis Physical Therapist Current Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis Current
since Mar 1, 2020
Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis Current
since Mar 1, 2020
Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Current
since Mar 1, 2020
Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Physical Therapist Current
since Mar 1, 2020
Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Past Accepting new patients

Locations

2105 E Enterprise Ave
Ste 113
Appleton, WI 54913
Phone (920) 560-1083

3860 Monroe Rd
De Pere, WI 54115
Phone (920) 272-1200

1821 S Webster Ave
Green Bay, WI 54301
Phone (920) 431-1850

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14331-24 WI Yes

Addresses

Primary practice location

3860 Monroe Rd
De Pere, WI 54115-8399

Mailing address

PO Box 19070
Green Bay, WI 54307-9070
Phone (920) 496-4700

Other practice location 1

1821 S Webster Ave
Green Bay, WI 54301-2253
Phone (920) 496-4700

Other identifiers

IdentifierTypeStateIssuer
100081435MedicaidWI

Other names

  • Samantha L Newhouse Former name

Other providers in De Pere, WI

All providers in De Pere, WI · Physical Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.