Samantha Benner
Individual provider Active NPI Physical Therapist · Uniontown, OH
NPI 1427686187 · NPPES record last updated Mar 30, 2020
Key facts
- NPI
- 1427686187
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT014241 (OH)
- Practice address
- 1940 Town Park Blvd
Uniontown, OH 44685-7855 - Phone
- (330) 896-9829
- NPI assigned
- Mar 30, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT014241 | OH | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT014241 | OH | Yes |
Addresses
Primary practice location
1940 Town Park Blvd
Uniontown, OH 44685-7855
Mailing address
1940 Town Park Blvd
Uniontown, OH 44685-7855
Other providers in Uniontown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.