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

Samantha Stack, PT, DPT

Individual provider Physical Therapist · NPI 1306529995

Samantha Stack, PT, DPT is a Physical Therapist in Private Practice in San Diego, California. Qualified in 2023, 3 years ago. Practices with Rehab United Sports Medicine and Physical Therapy, Inc, a 34-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3145 Rosecrans St Ste F
San Diego, CA 92110-4831
Phone: (619) 223-7175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3959 Ruffin Rd Ste J, San Diego, CA 92123-1830 — (858) 279-5570

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1306529995
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedAugust 9, 2023
Last updated in NPPESDecember 23, 2024
Certification dateDecember 23, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Rehab United Sports Medicine And Physical Therapy, Inc. — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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