Individual provider Active NPI

Samantha Paige Protexter, DPT

  • Physical Therapist
  • Dakota Dunes, SD
National Provider Identifier
1386327716
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
119958 Issued in IA
Practice address
101 Tower Rd Ste 210
Dakota Dunes, SD 57049-5098
Phone
(605) 217-4330
Fax
(605) 217-4255
NPI assigned
Aug 11, 2023
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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 119958 IA Primary

Addresses

Primary practice location

101 Tower Rd Ste 210
Dakota Dunes, SD 57049-5098

Mailing address

101 Tower Rd Ste 120
Dakota Dunes, SD 57049-5011
Phone (605) 217-4330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231020000962 SD Practitioner - Physical Therapist in Private Practice 8224484605 Reassigns benefits to 2 organizations
I20260414002957 IA Practitioner - Physical Therapist in Private Practice 8224484605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HS Occupational Wellness LLCGroup PAC ID 7416438684, 5 clinicians

Practice addresses (Care Compare)

3409 Singing Hills Blvd
Sioux City, IA 51106-5109
Phone (712) 202-0702

3410 S Western Ave
Sioux Falls, SD 57105-6109
Phone (605) 271-9980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
119958IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose and Throat Consultants and Hearing Services PLC CurrentSince Sep 15, 2023 Accepting new patients

Locations

101 Tower Rd
Ste 120210
Dakota Dunes, SD 57049
Phone (605) 217-4320

101 Tower Rd
Ste 210
Dakota Dunes, SD 57049
Phone (605) 217-4320

101 Tower Rd
Ste 120
North Sioux City, SD 57049
Phone (605) 217-4320

600 N Sioux Point Rd
North Sioux City, SD 57049
Phone (605) 217-4320

Organizations & group practices 2

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": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1386327716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TOWER RD STE 120",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495011",
            "telephone_number": "605-217-4330",
            "fax_number": "605-217-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWER RD STE 210",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495098",
            "telephone_number": "605-217-4330",
            "fax_number": "605-217-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROTEXTER",
        "first_name": "SAMANTHA",
        "middle_name": "PAIGE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "119958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dakota Dunes, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.