Samantha Hallenbeck, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501020053 Issued in MI

Practice address

1005 S US Highway 27 Ste 100
Saint Johns, MI 48879-2423

Phone

(989) 224-3000

Fax

(989) 668-0423

NPI assigned

Dec 13, 2021

Last updated

Nov 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinton County Medical Center PCGroup PAC ID 8224923818, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Clinton County Medical Center PC

  • Family Medicine Physician
  • Saint Johns, MI
  • NPI 1861486938

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Clinton County Medical Center PC

  • Rural Health Clinic/Center
  • Carson City, MI
  • NPI 1285408419
  NPD
• Richard S Ferro DO PC

  • Pain Clinic/Center
  • Okemos, MI
  • NPI 1790728038
  NPD (past)

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1457010928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 S US HIGHWAY 27 STE 100",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792423",
            "telephone_number": "989-224-3000",
            "fax_number": "989-668-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 S US HIGHWAY 27 STE 100",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792423",
            "telephone_number": "989-224-3000",
            "fax_number": "989-668-0423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3960 Patient Care Dr Ste 117",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489114279",
            "country_code": "US",
            "telephone_number": "517-325-0996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLENBECK",
        "first_name": "SAMANTHA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501020053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sfeldpausch@therecoveryproject.net",
            "affiliation": "N",
            "address_1": "3960 Patient Care Dr Ste 117",
            "city": "Lansing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "489114279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Grace Haven Assisted Living LLC (Grace Haven Assisted Living - Laboratory)
• Charles Peter Graham, D.C.
• Holly Graham
• Stephanie Hadley, LMSW, IMH-E
• Jessica Kristie Hafner, ATC/L
• Melissa F Halvorson, MD
• Jennifer L. Hardy, RPH
• Emily Harger
• Beaman H Haske, RPH
• Havenwyck Hospital Inc (Cedar Creek Hospital)

• Physical Therapist in Saint Johns, MI
• Providers in Saint Johns, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.