| Samantha Aileen Leitner, PT, DPT | |
|
501 Executive Pl, Fayetteville, NC 28305-5390 | |
| (910) 423-5550 | |
| (910) 423-5552 |
| Full Name | Samantha Aileen Leitner |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 501 Executive Pl, Fayetteville, 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 |
|---|---|---|---|
| 1689415804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P23247 (North Carolina) | Primary |
| Provider Name | Inner Coastal Plain - Pt, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1740069533 PECOS PAC ID: 9830540913 Enrollment ID: O20240112003490 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Aileen Leitner, PT, DPT 501 Executive Pl, Fayetteville, NC 28305-5390 Ph: (910) 423-5550 | Samantha Aileen Leitner, PT, DPT 501 Executive Pl, Fayetteville, NC 28305-5390 Ph: (910) 423-5550 |
Miss Roxanne King, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Pamalee Drive, Fayetteville, NC 28303 Phone: 910-488-2295 | |
Kristi Wilkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1289 Oliver St, Fayetteville, NC 28304 Phone: 910-483-8331 Fax: 910-483-8335 | |
Dale Anthony Gallo Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4140 Ferncreek Dr Ste 802, Fayetteville, NC 28314 Phone: 910-484-2171 Fax: 910-484-4568 | |
Bridget Maley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7532 Wilkins Dr, Fayetteville, NC 28311 Phone: 910-868-6000 | |
Casandra Heather Canterbury, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 Executive Pl, Fayetteville, NC 28305 Phone: 910-423-5550 Fax: 910-423-5552 | |
Tobi Alyssa Fuller, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1289 Oliver St, Fayetteville, NC 28304 Phone: 910-483-8331 Fax: 910-483-8335 | |
Dr. Jackson Thomas Pruett, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5860 Yadkin Rd, Fayetteville, NC 28303 Phone: 910-491-5164 |