| Samantha Godfrey, PT | |
|
10610 Metromont Pkwy Ste 108, Charlotte, NC 28269-7685 | |
| (980) 938-0693 | |
| Not Available |
| Full Name | Samantha Godfrey |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 10610 Metromont Pkwy Ste 108, Charlotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235784737 | NPI | - | NPPES |
| 1019541330001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT027851 (Pennsylvania) | Secondary |
| 225100000X | Physical Therapist | P22345 (North Carolina) | Primary |
| Provider Name | Black Mountain Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1457696361 PECOS PAC ID: 4385896349 Enrollment ID: O20121220000424 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Godfrey, PT 2000 Westinghouse Dr Ste 200, Cranberry Twp, PA 16066-5238 Ph: (724) 343-4060 | Samantha Godfrey, PT 10610 Metromont Pkwy Ste 108, Charlotte, NC 28269-7685 Ph: (980) 938-0693 |
Karan Bobby Johar, D.P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 3800 Shamrock Dr, Charlotte, NC 28215 Phone: 704-532-7000 | |
Jessica Huschart, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2382 | |
Victoria Parish Reynolds, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15825 Ballantyne Medical Pl Ste 120, Charlotte, NC 28277 Phone: 704-323-3409 | |
Activade Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 809 Woodruff Pl, Charlotte, NC 28208 Phone: 704-839-2019 | |
Gelt Haridhas Pushpa, Physical Therapist Medicare: Medicare Enrolled Practice Location: 445 S Kings Dr, Charlotte, NC 28204 Phone: 704-384-1737 | |
Reyna Yuritzia Fox, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3442 Cypress Club Dr, Charlotte, NC 28210 Phone: 704-714-5500 | |
Ashley F Volpenhein, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7422 Lancer Dr, Charlotte, NC 28226 Phone: 704-307-0897 |