Individual provider Active NPI

Samantha Bates, PT

  • Physical Therapist
  • Oak Creek, WI
National Provider Identifier
1831911973
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16969-24 Issued in WI
Practice address
140 E Rawson Ave Ste 317
Oak Creek, WI 53154-1525
Phone
(262) 287-0090
Fax
(262) 923-1939
NPI assigned
Oct 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501303515 MI
Physical Therapist 225100000X 16969-24 WI Primary

Addresses

Primary practice location

140 E Rawson Ave Ste 317
Oak Creek, WI 53154-1525

Mailing address

13203 Globe Dr Ste 111
Mt Pleasant, WI 53177-1616
Phone (262) 287-0090

Other practice location 1

13203 Globe Dr Ste 111
MT Pleasant, WI 53177-1616
Phone (262) 287-0090

Other practice location 2

3615 Washington Rd
Kenosha, WI 53144-1640
Phone (262) 287-0090

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5501303515MIMDPhysical Therapist
16969-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Support Services Inc CurrentSince Nov 3, 2024 Accepting new patients

Locations

3615 Washington Rd
Kenosha, WI 53144
Phone (262) 287-0090

3615 Washington Rd
Ste A
Kenosha, WI 53144
Phone (262) 287-0090

13203 Globe Dr
Ste 111
Mount Pleasant, WI 53177
Phone (262) 287-0090

140 E Rawson Ave
Ste 317
Oak Creek, WI 53154
Phone (262) 287-0090

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": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1831911973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13203 GLOBE DR STE 111",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "531771616",
            "telephone_number": "262-287-0090",
            "fax_number": "262-923-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E RAWSON AVE STE 317",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541525",
            "telephone_number": "262-287-0090",
            "fax_number": "262-923-1939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13203 Globe Dr Ste 111",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "WI",
            "postal_code": "531771616",
            "country_code": "US",
            "telephone_number": "262-287-0090",
            "fax_number": "262-923-1939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3615 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531441640",
            "country_code": "US",
            "telephone_number": "262-287-0090",
            "fax_number": "262-923-1939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATES",
        "first_name": "SAMANTHA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303515",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16969-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.