Active NPI
Samantha Nicole Hvasta, PT, DPT
- Physical Therapist
- Hammonton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01619400
- Practice address
- 240 S White Horse Pike Ste C-6
Hammonton, NJ 08037-1156 - Phone
- (609) 561-5308
- Fax
- (609) 561-2994
- NPI assigned
- Aug 20, 2015
- Last updated
- May 13, 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 | 40QA01619400 | NJ | Primary |
Addresses
Primary practice location
240 S White Horse Pike Ste C-6
Hammonton, NJ 08037-1156
Mailing address
240 S White Horse Pike Ste C-6
Hammonton, NJ 08037-1156
Phone (609) 561-2994
Other names 1
- Samantha Nicole Sundberg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01619400 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics SPT Inc. | Current | Accepting new patients | |
| Rehabclinics SPT Inc | Current | Accepting new patients | |
| Rehabclinics SPT, Inc. | Current | Accepting new patients |
Locations
2144 US Highway 130
Ste 12
Bordentown, NJ 08505
Phone (609) 324-9320
240 S White Horse Pike
Ste C6
Hammonton, NJ 08037
Phone (609) 561-5308
127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275
93 Cooper Rd
Ste 200
Voorhees, NJ 08043
Phone (856) 767-3435
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Little Egg Harbor, NJ
- NPI 1699113688
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Cherry Hill, NJ
- NPI 1942206065
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Chalfont, PA
- NPI 1952009482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1760858088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 S WHITE HORSE PIKE STE C-6",
"city": "HAMMONTON",
"state": "NJ",
"postal_code": "080371156",
"telephone_number": "609-561-2994",
"fax_number": "609-561-2994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 S WHITE HORSE PIKE STE C-6",
"city": "HAMMONTON",
"state": "NJ",
"postal_code": "080371156",
"telephone_number": "609-561-5308",
"fax_number": "609-561-2994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HVASTA",
"first_name": "SAMANTHA",
"middle_name": "NICOLE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-20",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01619400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "SUNDBERG",
"middle_name": "NICOLE",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hammonton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.