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

Individual provider Physical Therapist · NPI 1902630569

Samantha Dullum is a Physical Therapist in Private Practice in Owatonna, Minnesota. Qualified in 2024, 2 years ago. Practices with Activept, Corp, a 77-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2024
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Practice location Address checks out

1414 S Oak Ave Ste 2
Owatonna, MN 55060-3957
Phone: (507) 322-3460
Fax: (507) 322-3450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 827 High Point Dr Ne, Byron, MN 55920-4406 — (507) 322-3460
  • 1215 N 7th St, Lake City, MN 55041-1267 — (507) 322-3460
  • 3708 Broadway Ave N Ste 110, Rochester, MN 55906-4159 — (507) 322-3460
  • 1206 Shakopee Town Sq, Shakopee, MN 55379-1902 — (507) 322-3460

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13626 (MN)

Record details

NPI number1902630569
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 27, 2024
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Activept, Corp. — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Owatonna