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

Kyle F Sampson

Individual provider Physical Therapist · NPI 1518434125

Kyle F Sampson is a Physical Therapist in Private Practice in Waterford, Wisconsin. Qualified in 2018, 8 years ago. Practices with Freedom Physical Therapy Services SC, a 29-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
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Practice location Address checks out

315 N Milwaukee St
Waterford, WI 53185-4432
Phone: (262) 514-2700
Fax: (262) 514-3003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1518434125
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 1, 2018
Last updated in NPPESNovember 1, 2018
Mailing address600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Freedom Physical Therapy Services Sc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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