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

Mrs. Samantha Ivey, DPT

Individual provider Physical Therapist · NPI 1467173518

Mrs. Samantha Ivey, DPT is a Physical Therapist in Private Practice in Jacksonville, North Carolina. Qualified in 2022, 4 years ago. Practices with Fandr Health Services Inc, a 9-clinician group and accepts Medicare assignment. Licensed in North Carolina and New York.

Years since qualifying
4
Licensed in
NC, NY
In the registry since
2022
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2457 Gum Branch Rd
Jacksonville, NC 28540-4008
Phone: (910) 938-7555
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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 P21612 (NC)
Physical Therapist Taxonomy 225100000X · Licence 048758 (NY)

Record details

NPI number1467173518
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 7, 2022
Last updated in NPPESSeptember 7, 2022
Certification dateSeptember 7, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Fandr Health Services Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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