Active NPI
Samara Stolzenberg
- Physical Therapist
- Oviedo, FL
National Provider Identifier
1528770138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | N/A |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.