Samantha Lee Fenwick, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT019273 Issued in OH

Practice address

4160 Little York Rd
Dayton, OH 45414-5800

Phone

(937) 415-9170

NPI assigned

May 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samantha.wilson.p1@direct.beaconortho.nextgenshare.com

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.

• Beacon Orthopaedics & Sports Medicine, LTD

  dba OrthoAlliance of Ohio

  • Specialist
  • Cincinnati, OH
  • NPI 1386670065

  Physical Therapist

  Medicare reassignment NPD
• Ortho Advantage LLC

  • Physical Therapist
  • Dayton, OH
  • NPI 1104846021
  Medicare reassignment NPD
• Orthopedic Associates of SW Ohio, Inc

  • Orthopaedic Surgery Physician
  • Dayton, OH
  • NPI 1447422118
  Medicare reassignment NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028

  OH

  Medicare reassignment NPD
• Beacon Orthopaedics & Sports Medicine LTD

  dba Ortho Foot and Ankle DBA OrthoAlliance of Ohio

  • Orthopaedic Foot and Ankle Surgery Physician
  • Worthington, OH
  • NPI 1699472878
  NPD
• Orthopedic Associates of S W Ohio Inc,

  • Orthopaedic Surgery Physician
  • Fairborn, OH
  • NPI 1609387984
  NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1851975213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477961",
            "telephone_number": "513-354-7662",
            "fax_number": "513-354-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 LITTLE YORK RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454145800",
            "telephone_number": "937-415-9170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7277 Smiths Mill Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "OH",
            "postal_code": "430548195",
            "country_code": "US",
            "telephone_number": "614-304-2123",
            "fax_number": "614-304-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENWICK",
        "first_name": "SAMANTHA",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019273",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer K Fenske-Doyle, MSW, LISW
• Mark E. Fenster, M.D.
• Rachel Fenton, OD, MS
• Richard A. Fenton, O.D.
• Makenzie Jo Fentress, DDS
• Gerald Edward Ferg III
• Andrew Allen Ferguson, DO
• Caroline Grace Ferguson
• Emmi Ferguson
• Lillian Ferguson

• Physical Therapist in Dayton, OH
• Providers in Dayton, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.

Verify at the official NPI Registry.