Dr. Samantha Powell, PT
Physical Therapist in Grosse Pointe Farms, MI. Individual provider (NPI-1).
NPI number1194351577
StatusActive
Last updated in NPPESApr 9, 2021
Details
- NPI
- 1194351577
- Entity type
- Individual (NPI-1)
- Name
- Dr. Samantha Powell
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2020
- Certification date
- Apr 9, 2021
- Last updated
- Apr 9, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501019477 | MI | Yes |
Practice location
159 Kercheval AveGrosse Pointe Farms, MI 48236-3610
Phone 313-640-2200
Mailing address
159 Kercheval AveGrosse Pointe Farms, MI 48236-3610
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 21 Physical Therapist providers in Grosse Pointe Farms · All 232 providers in Grosse Pointe Farms
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