Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Samantha Jean Sullivan, PT, DPT

Individual provider Physical Therapist · NPI 1508418930

Dr. Samantha Jean Sullivan, PT, DPT is a Physical Therapist in Private Practice in Johnston, Iowa. Qualified in 2019, 7 years ago. Practices with Bartek Therapy Services, Inc, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
7
Licensed in
IA
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5627 NW 86th St Ste 200
Johnston, IA 50131-1738
Phone: (515) 270-0303
Fax: (515) 270-0160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1810 Sw White Birch Cir Ste 107, Ankeny, IA 50023-7226 — (515) 964-8885

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 096840 (IA)

Record details

NPI number1508418930
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJuly 16, 2019
Last updated in NPPESApril 6, 2023
Certification dateApril 6, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Bartek Therapy Services, Inc. — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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