Individual provider Active NPI

Samantha Casey Hinnant, DPT

  • Physical Therapist
  • Fayetteville, NC
National Provider Identifier
1679997258
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14711 Issued in NC
Practice address
501 Executive PL
Fayetteville, NC 28305-5390
Phone
(910) 423-5550
Fax
(910) 423-5552
NPI assigned
Feb 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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 14711 NC Primary

Addresses

Primary practice location

501 Executive PL
Fayetteville, NC 28305-5390

Mailing address

501 Executive PL
Fayetteville, NC 28305-5390
Phone (910) 423-5550

Other names 1

  • Samantha Casey Sturdevant Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200312001816 TX Practitioner - Physical Therapist in Private Practice 1850524752 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14711NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Sport and Spine Center Inc Physical Therapist CurrentSince Mar 27, 2024 Accepting new patients
Real View Diagnostics LLC Physical Therapist CurrentSince Mar 27, 2024 Accepting new patients
Inova Health Care Services Past Accepting new patients

Locations

2404 S Locust St
Ste 5
Las Cruces, NM 88001
Phone (505) 521-4188

1845 Northwestern Dr
Ste B
El Paso, TX 79912
Phone (915) 875-1559

Organizations & group practices 3

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": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1679997258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 EXECUTIVE PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055390",
            "telephone_number": "910-423-5550",
            "fax_number": "910-423-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 EXECUTIVE PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055390",
            "telephone_number": "910-423-5550",
            "fax_number": "910-423-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINNANT",
        "first_name": "SAMANTHA",
        "middle_name": "CASEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "14711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "STURDEVANT",
            "middle_name": "CASEY",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.