Individual provider Active NPI

Samantha Peters, PT

  • Physical Therapist
  • Winter Garden, FL
National Provider Identifier
1487984456
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25757 Issued in FL
Practice address
4040 Winter Garden Vineland Rd
Winter Garden, FL 34787-9502
Phone
(407) 573-3361
Fax
(407) 395-8309
NPI assigned
Jan 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 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 PT25757 FL Primary

Addresses

Primary practice location

4040 Winter Garden Vineland Rd
Winter Garden, FL 34787-9502

Mailing address

4040 Winter Garden Vineland Rd
Winter Garden, FL 34787-9502
Phone (407) 573-3361

Other practice location 1

1015 Nash Dr
Celebration, FL 34747-4310
Phone (630) 319-8501

Other names 1

  • Samantha Addante Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221007002080 FL Practitioner - Physical Therapist in Private Practice 0345376554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Northwestern University Feinberg Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

4040 Winter Garden Vineland Rd
Winter Garden, FL 34787-9502
Phone (407) 573-3361

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4772OKMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Nov 1, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Nov 1, 2023 Accepting new patients
Dedicated Physical Therapy and Wellness LLC Physical Therapist CurrentSince Sep 21, 2022 Accepting new patients
Concierge Physical Therapy of Celebration, PLLC Physical Therapist CurrentSince Apr 16, 2023 Accepting new patients
Stern at Home Physical Therapy PC Physical Therapist PastSince Sep 21, 2022 Accepting new patients
Accelerated Rehabilitation Centers LTD Physical Therapist Past Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

4040 Winter Garden Vineland Rd
Winter Garden, FL 34787
Phone (407) 573-3361

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1487984456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 WINTER GARDEN VINELAND RD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879502",
            "telephone_number": "407-573-3361",
            "fax_number": "407-395-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 WINTER GARDEN VINELAND RD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879502",
            "telephone_number": "407-573-3361",
            "fax_number": "407-395-8309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Nash Dr",
            "address_purpose": "LOCATION",
            "city": "Celebration",
            "state": "FL",
            "postal_code": "347474310",
            "country_code": "US",
            "telephone_number": "630-319-8501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "SAMANTHA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT25757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "ADDANTE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.