Individual provider Active NPI

Samantha White, PT, DPT

  • Physical Therapist
  • Old Town, ME
National Provider Identifier
1548034044
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6677 Issued in ME
Practice address
482 Stillwater Ave
Old Town, ME 04468-2190
Phone
(207) 881-5012
NPI assigned
Nov 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 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 PT6677 ME Primary

Addresses

Primary practice location

482 Stillwater Ave
Old Town, ME 04468-2190

Mailing address

625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395

Other practice location 1

797 Wilson St
Brewer, ME 04412-1003
Phone (207) 992-4042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231228002641 ME Practitioner - Physical Therapist in Private Practice 4486004769 Reassigns benefits to 1 organization
I20260521000077 TX Practitioner - Physical Therapist in Private Practice 4486004769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back in Motion Physical Therapy LLCGroup PAC ID 7416926704, 57 clinicians

Practice addresses (Care Compare)

482 Stillwater Ave
Old Town, ME 04468-2190
Phone (207) 881-5012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT6677MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Motion Physical Therapy, LLC Physical Therapist CurrentSince Nov 14, 2023 Accepting new patients
Results Physical and Occupational Therapy Physical Therapist CurrentSince Nov 14, 2023 Accepting new patients
Fit Physical Therapy and Consulting Services, LLC Physical Therapist CurrentSince Nov 14, 2023 Accepting new patients

Locations

797 Wilson St
Brewer, ME 04412
Phone (207) 992-4042

94 Main St
Gorham, ME 04038
Phone (207) 839-5225

482 Stillwater Ave
Old Town, ME 04468
Phone (207) 827-4100

625 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546

Organizations & group practices 4

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": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1548034044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 STILLWATER AVE",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "044682190",
            "telephone_number": "207-881-5012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "797 Wilson St",
            "address_purpose": "LOCATION",
            "city": "Brewer",
            "state": "ME",
            "postal_code": "044121003",
            "country_code": "US",
            "telephone_number": "207-992-4042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SAMANTHA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT6677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Town, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.