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

Samantha E Vanderburg, PTA

Individual provider Physical Therapy Assistant · NPI 1316513583

Samantha E Vanderburg, PTA is a Physical Therapy Assistant in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2021.

Licensed in
OK
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

204 S Sweet Gum Pl
Broken Arrow, OK 74012-4587
Phone: (918) 284-4220
Fax: (918) 249-2817
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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2928 (OK)

Record details

NPI number1316513583
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 28, 2021
Last updated in NPPESMay 28, 2021
Certification dateMay 19, 2021
Mailing address2608 W Kenosha St # 496, Broken Arrow, OK 74012-8952

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