Samantha Chavez, DPT, PT
Individual provider Active NPI Physical Therapist · Lemoore, CA
NPI 1750111597 · NPPES record last updated Aug 6, 2024
Key facts
- NPI
- 1750111597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 306508 (CA)
- Practice address
- 755 N Lemoore Ave Ste C
Lemoore, CA 93245-2715 - Phone
- (559) 817-5808
- Fax
- (559) 423-5129
- NPI assigned
- Aug 6, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Precision Rehabilitation and Orthopedic Physical Therapy Inc
Practice addresses (Care Compare)
755 N Lemoore Ave
Suite C
Lemoore, CA 93245-2715
Phone (559) 817-5808
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240822002153 | CA | Practitioner - Physical Therapist in Private Practice | 9032658091 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 306508 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Rehabilitation & Orthopedic Physical Therapy Inc | Physical Therapist | Current |
Accepting new patients |
| Precision Rehabilitation & Orthopedic Physical Therapy Inc | Physical Therapist | Current |
Accepting new patients |
Locations
755 N Lemoore Ave
Ste C
Lemoore, CA 93245
Phone (559) 817-5808
1870 S Central St
Visalia, CA 93277
Phone (559) 636-1200
701 W Center Ave
Visalia, CA 93291
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 306508 | CA | Yes |
Addresses
Primary practice location
755 N Lemoore Ave Ste C
Lemoore, CA 93245-2715
Mailing address
701 W Center Ave
Visalia, CA 93291-6015
Phone (559) 713-6806
Other providers in Lemoore, CA
- Central Valley Maternal & Child Care Centers
- Vanessa Cervantes
- Alyssa Lillianna Chacon
- Champions Recovery Alternative Programs, Inc.
- Douglas Jeffrey Chang
- Oliver Chiong
- Leland Cho
- Hannah Yuni Chung
- Shirlee Cicale
- Amy S Coeler
All providers in Lemoore, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2024. 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.