Provider Demographics
NPI:1134715287
Name:ADKINS, SAMANTHA ANNE (DPT, GCS)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:ANNE
Last Name:ADKINS
Suffix:
Gender:F
Credentials:DPT, GCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 ELKTON DR # 201
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-3514
Mailing Address - Country:US
Mailing Address - Phone:719-559-0680
Mailing Address - Fax:719-559-0681
Practice Address - Street 1:602 ELKTON DR # 201
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-3514
Practice Address - Country:US
Practice Address - Phone:719-559-0680
Practice Address - Fax:719-559-0681
Is Sole Proprietor?:No
Enumeration Date:2020-12-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD28165225100000X
COCP044244T2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist