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

Samantha L Gullett, ATC, LAT, OTC, PA-C

Individual provider Athletic Trainer · NPI 1841888773

Samantha L Gullett, ATC, LAT, OTC, PA-C is a Physician Assistant in Lake Worth, Florida. Qualified in 2025, 1 year ago. Works from 3 locations. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2021
Specialties on file
3
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4560 Lantana Rd Ste 100
Lake Worth, FL 33463-6998
Phone: (561) 967-4400
Fax: (844) 959-0419
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 222 S Peninsula Dr, Daytona Beach, FL 32118-4422 — (386) 310-2160
  • 900 Village Square Xing, Palm Beach Gardens, FL 33410-4547 — (561) 627-8500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Athletic Trainer Taxonomy 2255A2300X · Licence AL5559 (FL)
Orthopedic Assistant Taxonomy 246ZX2200X · Licence 201116 (FL)

Record details

NPI number1841888773
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , LAT , OTC , PA-C
Sole proprietorNo
NPI enumeratedJanuary 6, 2021
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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