Samantha Whalen, ATC, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT306731 Issued in CA

Practice address

1541 Old Bayshore Hwy
Burlingame, CA 94010-1602

Phone

(925) 784-5853

NPI assigned

Jun 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1356909576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5567 HELGA CT",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945508142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 OLD BAYSHORE HWY",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101602",
            "telephone_number": "925-784-5853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Maple St",
            "address_purpose": "LOCATION",
            "city": "Livermore",
            "state": "CA",
            "postal_code": "945503298",
            "country_code": "US",
            "telephone_number": "925-784-5853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5567 Helga Ct",
            "address_purpose": "LOCATION",
            "city": "Livermore",
            "state": "CA",
            "postal_code": "945508142",
            "country_code": "US",
            "telephone_number": "925-784-5853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "SAMANTHA",
        "credential": "ATC, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "2000042734",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT306731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Wei, PHARM. D
• Richard Jeffrey Weiss, PH.D.
• Michelle Wells, OTR/L
• Karin K. Wertz, MD
• Ari Wes
• Cara Barry Wharton, LMFT
• Wheelchairs of San Mateo
• Aileen Whelan, M.D.
• Andria Whipple, LPC
• Olivia Kathryn White Brock, MS, NCC, LPC, LMHC

• Physical Therapist in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.