Individual provider Active NPI

Samara Stolzenberg

  • Physical Therapist
  • Oviedo, FL
National Provider Identifier
1528770138
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
8000 Red Bug Lake Rd Ste 140
Oviedo, FL 32765-9265
Phone
(407) 359-5211
NPI assigned
Dec 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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 Primary

Addresses

Primary practice location

8000 Red Bug Lake Rd Ste 140
Oviedo, FL 32765-9265

Mailing address

926 Warehouse Rd Apt 90109
Orlando, FL 32803-3554
Phone (954) 864-4103

Other identifiers 1

IdentifierTypeStateIssuer
0OtherN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1528770138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 WAREHOUSE RD APT 90109",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033554",
            "telephone_number": "954-864-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 RED BUG LAKE RD STE 140",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659265",
            "telephone_number": "407-359-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLZENBERG",
        "first_name": "SAMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "8000 Red Bug Lake Rd Ste 140",
            "city": "Oviedo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327659265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.