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

Samantha Kidder, PT

Individual provider Physical Therapist · NPI 1306411129

Samantha Kidder, PT is a Physical Therapist in Private Practice in Shoreline, Washington. Qualified in 2021, 5 years ago. Practices with Prevail Practices PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

17012 Aurora Ave N Ste 101
Shoreline, WA 98133-5315
Phone: (205) 706-7500
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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 61175263 (WA)

Record details

NPI number1306411129
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 24, 2021
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Prevail Practices Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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