Active NPI
Samantha Marie Warren, DPT
- Orthopedic Physical Therapist
- Jbphh, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 24385
- Practice address
- 755 Scott Cir
Jbphh, HI 96853-5399 - Phone
- (888) 683-2778
- NPI assigned
- Oct 28, 2008
- Last updated
- Aug 5, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14091 | NC | |
| Orthopedic Physical Therapist | 2251X0800X | 24385 | FL | Primary |
| Physical Therapist | 225100000X | 24385 | FL |
Addresses
Primary practice location
755 Scott Cir
Jbphh, HI 96853-5399
Mailing address
755 Scott Cir
Jbphh, HI 96853-5399
Phone (888) 683-2778
Other practice location 1
2550 Ravenhill Dr
Suite 103
Fayetteville, NC 28303-9627
Phone (910) 484-8492
Other practice location 2
90 Hope Dr Bldg 6000
Mountain Home AFB, ID 83648
Phone (208) 828-2175
Other practice location 3
88th Medical Group
4881 Sugar Maple Drive
Wpafb, OH 45433
Phone (937) 257-9035
Other names 1
- Dr. Samantha Marie Berger
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24385 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Therapy of North Carolina Inc | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 1
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.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Raleigh, NC
- NPI 1689679433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1790938371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 SCOTT CIR",
"city": "JBPHH",
"state": "HI",
"postal_code": "968535399",
"telephone_number": "888-683-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 SCOTT CIR",
"city": "JBPHH",
"state": "HI",
"postal_code": "968535399",
"telephone_number": "888-683-2778"
}
],
"practiceLocations": [
{
"address_1": "2550 Ravenhill Dr",
"address_2": "Suite 103",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283039627",
"country_code": "US",
"telephone_number": "910-484-8492",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "90 Hope Dr Bldg 6000",
"address_purpose": "LOCATION",
"city": "Mountain Home AFB",
"state": "ID",
"postal_code": "83648",
"country_code": "US",
"telephone_number": "208-828-2175",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "88th Medical Group",
"address_2": "4881 Sugar Maple Drive",
"address_purpose": "LOCATION",
"city": "WPAFB",
"state": "OH",
"postal_code": "45433",
"country_code": "US",
"telephone_number": "937-257-9035",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARREN",
"first_name": "SAMANTHA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-28",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "14091",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "24385",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "24385",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "BERGER",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jbphh, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.