Provider Demographics
NPI:1538290184
Name:SCHAFER, SAMANTHA EMILY (DPT)
Entity Type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:EMILY
Last Name:SCHAFER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 157
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42210-0157
Mailing Address - Country:US
Mailing Address - Phone:270-597-3757
Mailing Address - Fax:270-597-1020
Practice Address - Street 1:210 S MAIN ST
Practice Address - Street 2:SUITE 106
Practice Address - City:BROWNSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42210-9001
Practice Address - Country:US
Practice Address - Phone:270-597-3757
Practice Address - Fax:270-597-1020
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY005078225100000X, 2251E1300X, 2251G0304X, 2251H1200X, 2251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251E1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistElectrophysiology, Clinical
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
No2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHand
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYPENDINGMedicare UPIN