Active NPI
Samantha Dover, DPT, PT
- Physical Therapist
- San Antonio, TX
National Provider Identifier
1720619448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1323292
- Practice address
- 20818 Gathering Oak Ste 106
San Antonio, TX 78260-3105 - Phone
- (210) 858-5006
- NPI assigned
- Jan 31, 2020
- 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 | 1323292 | TX | Primary |
Addresses
Primary practice location
20818 Gathering Oak Ste 106
San Antonio, TX 78260-3105
Mailing address
112 Hunters Branch St
Shavano Park, TX 78231-1207
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1323292 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1720619448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 HUNTERS BRANCH ST",
"city": "SHAVANO PARK",
"state": "TX",
"postal_code": "782311207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20818 GATHERING OAK STE 106",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782603105",
"telephone_number": "210-858-5006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOVER",
"first_name": "SAMANTHA",
"name_prefix": "Mrs.",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-31",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1323292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.