Individual provider Active NPI

Samantha Alexis Dugan, DPT

  • Physical Therapist
  • Plainwell, MI
National Provider Identifier
1447061668
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501303410 Issued in MI
Practice address
399 Oaks Xing
Plainwell, MI 49080-1926
Phone
(248) 353-1234
Fax
(248) 353-1211
NPI assigned
Jan 16, 2025
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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 5501303410 MI Primary

Addresses

Primary practice location

399 Oaks Xing
Plainwell, MI 49080-1926

Mailing address

399 Oaks Xing
Plainwell, MI 49080-1926
Phone (248) 353-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250205000868 MI Practitioner - Physical Therapist in Private Practice 7416487541 Reassigns benefits to 1 organization

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
Group practices
Ompt Specialists IncGroup PAC ID 7012920416, 32 clinicians

Practice addresses (Care Compare)

399 Oaks Xing
Plainwell, MI 49080-1926
Phone (269) 222-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501303410MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ompt Specialists, Inc. Physical Therapist CurrentSince Jan 20, 2025 Accepting new patients

Locations

399 Oaks Xing
Plainwell, MI 49080
Phone (269) 222-5400

1080 Kirts Blvd
Ste 300
Troy, MI 48084

4600 Investment Dr
Ste 190
Troy, MI 48098
Phone (242) 353-1234

Organizations & group practices 1

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": "1736985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1447061668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 OAKS XING",
            "city": "PLAINWELL",
            "state": "MI",
            "postal_code": "490801926",
            "telephone_number": "248-353-1234",
            "fax_number": "248-353-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 OAKS XING",
            "city": "PLAINWELL",
            "state": "MI",
            "postal_code": "490801926",
            "telephone_number": "248-353-1234",
            "fax_number": "248-353-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAN",
        "first_name": "SAMANTHA",
        "middle_name": "ALEXIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainwell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.