Individual provider Active NPI

Samantha Wourms

  • Physical Therapist
  • Saint Henry, OH
National Provider Identifier
1821969239
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT021388 Issued in OH
Practice address
452 Stachler Dr
Saint Henry, OH 45883-9582
Phone
(419) 678-4444
NPI assigned
Sep 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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 PT021388 OH Primary

Addresses

Primary practice location

452 Stachler Dr
Saint Henry, OH 45883-9582

Mailing address

210 S Elm St
Celina, OH 45822-2019
Phone (419) 447-7203

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260202003318 OH Practitioner - Physical Therapist in Private Practice 7517445372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Services Rehabilitation IncGroup PAC ID 2567487887, 20 clinicians

Practice addresses (Care Compare)

805 Patriot Dr
Suite H
Wellington, OH 44090-8951
Phone (440) 647-0107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT021388OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
P.T. Services Rehabilitation, Inc. CurrentSince Dec 25, 2025 Accepting new patients

Locations

1800 W State St
Fremont, OH 43420
Phone (419) 332-6709

452 Stachler Dr
Saint Henry, OH 45883
Phone (419) 678-4444

805 Patriot Dr
Ste H
Wellington, OH 44090
Phone (440) 647-0107

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1821969239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S ELM ST",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458222019",
            "telephone_number": "419-447-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 STACHLER DR",
            "city": "SAINT HENRY",
            "state": "OH",
            "postal_code": "458839582",
            "telephone_number": "419-678-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOURMS",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT021388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Henry, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.