| Samantha White, PT, DPT | |
|
482 Stillwater Ave, Old Town, ME 04468-2190 | |
| (207) 881-5012 | |
| Not Available |
| Full Name | Samantha White |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 482 Stillwater Ave, Old Town, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548034044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT6677 (Maine) | Primary |
| Provider Name | Back In Motion Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821165960 PECOS PAC ID: 7416926704 Enrollment ID: O20041004000108 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha White, PT, DPT 625 Kenmoor Ave Se Ste 100, Grand Rapids, MI 49546-2395 Ph: () - | Samantha White, PT, DPT 482 Stillwater Ave, Old Town, ME 04468-2190 Ph: (207) 881-5012 |
Michaela Davis, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 Stillwater Ave Ste 5, Old Town, ME 04468 Phone: 207-817-0214 | |
Amy St. Peter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 Stillwater Ave, Old Town, ME 04468 Phone: 207-817-0214 | |
Dr. Jessica M Speed, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Billie Joe Ct, Old Town, ME 04468 Phone: 207-447-0974 | |
Regan Lauren Nelson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 482 Stillwater Ave, Old Town, ME 04468 Phone: 207-881-5012 Fax: 866-394-9809 | |
Kyle Deliberty, DPT, ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 601 Stillwater Ave Ste 5, Old Town, ME 04468 Phone: 207-817-0214 | |
Margaret A. Capehart, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 274 Main St, Old Town, ME 04468 Phone: 207-827-5461 Fax: 207-827-1358 |