Samantha Lynn Pavolko

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT032106 Issued in PA

Practice address

3356 Birney PLZ
Moosic, PA 18507-1560

Phone

(570) 347-7790

NPI assigned

Feb 7, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Steffie Enterprises, IncGroup PAC ID 0840225736, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Steffie Enterprises, Inc

  • Physical Therapist
  • Plains, PA
  • NPI 1184700684
  Medicare reassignment Care Compare group NPD
• Achieva Rehabilitation LLC

  • Physical Therapist
  • Frackville, PA
  • NPI 1689981573
  Medicare reassignment NPD
• Alycam Inc

  • Physical Therapist
  • Hanover, PA
  • NPI 1861578460
  Medicare reassignment NPD
• Derek Enterprises LLC

  • Physical Therapist
  • W Hazleton, PA
  • NPI 1659457158
  Medicare reassignment NPD
• Dylan RC Enterprises Inc

  • Physical Therapist
  • New Milford, PA
  • NPI 1679165559
  Medicare reassignment NPD

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1689438087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 E 7TH ST",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186442042",
            "telephone_number": "484-515-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3356 BIRNEY PLZ",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071560",
            "telephone_number": "570-347-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVOLKO",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT032106",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne J. Opsasnick, B.S., MSW, LCSW
• Andrea J Oravec, LCSW
• Zuhri Outland, LSW
• Amber Michele Parker, PMHNP-BC
• Thomas Anthony Patts, PA-C
• Penn Neurology and Psychiatry Associates, PC
• Travis Edward Perry, D.D.S
• Sarah Pilosi
• Rachel Platko, LPC
• James Oliver Poepperling, DPT, L.AC.

• Physical Therapist in Moosic, PA
• Providers in Moosic, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.