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

Samantha Iannucci, DPT

Individual provider Physical Therapist · NPI 1790560027

Samantha Iannucci, DPT is a Physical Therapist in Private Practice in Los Angeles, California. Graduated from University of North Carolina at Chapel Hill School of Medicine in 2023, 3 years ago. Practices with Sansum Clinic, a 320-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
CA
In the registry since
2023
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

1640 Marengo St Ste 102
Los Angeles, CA 90033-1061
Phone: (323) 865-1200
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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 304682 (CA)

Record details

NPI number1790560027
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 25, 2023
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Sansum Clinic — 320 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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