Individual provider Active NPI

Samantha Ohree, PT, DPT

  • Physical Therapist
  • South Daytona, FL
National Provider Identifier
1720716780
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39098 Issued in FL
Practice address
401 Venture Dr Ste B
South Daytona, FL 32119-3475
Phone
(386) 763-0084
Fax
(386) 763-0085
NPI assigned
Aug 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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 PT39098 FL Primary

Addresses

Primary practice location

401 Venture Dr Ste B
South Daytona, FL 32119-3475

Mailing address

336 Broad St Ste 203
Rome, GA 30161-3006
Phone (386) 763-0084

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312004258 FL Practitioner - Physical Therapist in Private Practice 0840636809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fit Physical Therapy of FloridaGroup PAC ID 6608268172, 2 clinicians

Practice addresses (Care Compare)

326 Moody Blvd
Flagler Beach, FL 32136-3373
Phone (386) 986-6866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Physical Therapy of Florida Physical Therapist CurrentSince Mar 9, 2024 Accepting new patients
Ability Health Services and Rehabilitation LP Past Accepting new patients
University Rehabilitation, LLC Physical Therapist PastSince Mar 9, 2024 Accepting new patients

Locations

326 Moody Blvd
Flagler Beach, FL 32136
Phone (386) 439-0506

Networks

  • Freedom Health HMO Network

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": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1720716780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 BROAD ST STE 203",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613006",
            "telephone_number": "386-763-0084",
            "fax_number": "386-763-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 VENTURE DR STE B",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321193475",
            "telephone_number": "386-763-0084",
            "fax_number": "386-763-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHREE",
        "first_name": "SAMANTHA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Daytona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.