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

Samantha Nivison

Individual provider Physical Therapist · NPI 1710718200

Samantha Nivison is a Physical Therapist in Private Practice in Bradenton, Florida. Qualified in 2024, 2 years ago. Practices with Back in Motion Sarasota Physical Therapy Pl, a 6-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
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Practice location Address checks out

104 53rd Ave E
Bradenton, FL 34203-4702
Phone: (941) 925-2700
Fax: (941) 925-7744
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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 PT42053 (FL)

Record details

NPI number1710718200
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 8, 2024
Last updated in NPPESJuly 13, 2025
Certification dateJuly 13, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Back In Motion Sarasota Physical Therapy Pl — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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