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

Samantha Kilbourne

Individual provider Physical Therapist · NPI 1205563798

Samantha Kilbourne is a Physical Therapist in Private Practice in San Tan Valley, Arizona. Qualified in 2022, 4 years ago. Practices with 360 Physical Therapy LLC, a 85-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Florida.

Years since qualifying
4
Licensed in
AZ, FL
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

36397 N Gantzel Rd Ste 102
San Tan Valley, AZ 85140-7336
Phone: (480) 567-2987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7544 Jacque Rd, Hudson, FL 34667-7162 — (727) 863-4122

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence LPT-033380 (AZ)
Physical Therapist Taxonomy 225100000X · Licence PT38902 (FL)

Record details

NPI number1205563798
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 4, 2022
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice 360 Physical Therapy Llc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Tan Valley