Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emilie Victoria Samp, PT, DPT

Individual provider Physical Therapist · NPI 1104565027

Emilie Victoria Samp, PT, DPT is a Physical Therapist in Private Practice in Fort Wayne, Indiana. Qualified in 2020, 6 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group and accepts Medicare assignment. Licensed in California and Indiana.

Years since qualifying
6
Licensed in
CA, IN
In the registry since
2022
Specialties on file
2
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

11143 Parkview Plaza Dr Ste 100
Fort Wayne, IN 46845-1728
Phone: (260) 266-7400
Fax: (260) 266-7439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05015114A (IN)
Physical Therapist Taxonomy 225100000X · Licence 301446 (CA)

Record details

NPI number1104565027
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 31, 2022
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Parkview Health System Inc — 1336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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