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

Samantha Woolledge

Individual provider Physical Therapist · NPI 1720402720

Samantha Woolledge is a Physical Therapist in Private Practice in Saint Louis, Missouri. Qualified in 2013, 13 years ago. Practices with Fox Rehabilitation Services PT Mo LLC, a 32-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
13
Licensed in
MO
In the registry since
2014
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Practice location Address checks out

4020 Butler Hill Rd
Saint Louis, MO 63129-1500
Phone: (314) 487-6644
Fax: (314) 487-6623
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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 2014004182 (MO)

Record details

NPI number1720402720
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 11, 2014
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025

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 Fox Rehabilitation Services Pt Mo Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Louis