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

Samantha Jean Shallow

Individual provider Physical Therapist · NPI 1023971298

Samantha Jean Shallow is a Physical Therapist in Private Practice in Marinette, Wisconsin. Qualified in 2025, 1 year ago. Practices with Oconto Hospital and Medical Center Inc, a 217-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2025
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Practice location Address checks out

2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone: (920) 430-4880
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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 17541-24 (WI)

Record details

NPI number1023971298
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 4, 2025
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Oconto Hospital And Medical Center Inc — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Marinette