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

Samantha Moore

Individual provider Physical Therapist · NPI 1598197576

Samantha Moore is a Physical Therapist in Private Practice in Summit, Mississippi. Qualified in 2013, 13 years ago. Practices with Medical Foundation of Central Mississippi Inc, a 273-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
13
In the registry since
2013
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Practice location Address checks out

4109 Highway 98 W
Summit, MS 39666-9132
Phone: (601) 276-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 401 Baptist Dr Ste 306, Madison, MS 39110-2012 — (601) 607-7204

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1598197576
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 1, 2013
Last updated in NPPESMarch 8, 2019
Mailing address4109 Highway 98 W, Summit, MS 39666-9132

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Medical Foundation Of Central Mississippi Inc — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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