Samantha Lea Ashenbrener, DPT
Individual provider Active NPI Physical Therapist · Twin Falls, ID
NPI 1679953962 · NPPES record last updated Jul 19, 2016
Key facts
- NPI
- 1679953962
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT-3807 (ID)
- Practice address
- 754 N College Rd
Ste D
Twin Falls, ID 83301-5822 - Phone
- (208) 734-5313
- Fax
- (208) 736-1582
- NPI assigned
- Jun 2, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Center for Physical Rehabilitation, LLC
Practice addresses (Care Compare)
754 N College Rd
Suite D
Twin Falls, ID 83301-5822
Phone (208) 734-5313
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150924001630 | ID | Practitioner - Physical Therapist in Private Practice | 4082922000 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-3807 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Physical Rehabilitation, LLC | Physical Therapist | Current |
Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Locations
754 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 731-5313
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-3807 | ID | Yes |
Addresses
Primary practice location
754 N College Rd
Ste D
Twin Falls, ID 83301-5822
Mailing address
754 N College Rd
Ste D
Twin Falls, ID 83301-5822
Phone (208) 734-5313
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679953962 | Medicaid | ID | |
| P01582594 | Other | ID | RR MEDICARE |
Other names
- Samantha Lea Shuss
Other providers in Twin Falls, ID
- Amber M Arterburn
- Arthritis Center of Idaho,PA
- Jessica Asay
- Ascent Care
- Thomas C Ashby
- Ashley Manor, LLC
- Ashley Manor, LLC
- Lindsay Ashmead
- Aspen Grove Family Therapy, Inc
- Aspenwood Rehabilitation
All providers in Twin Falls, ID · Physical Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.