SAMANTHA MARIE FRASER (DPT) – Physical Therapist, NPI 1013714823

SAMANTHA MARIE FRASER (DPT) is a healthcare provider. based in Savannah, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT018144 (GA). The NPI Number for SAMANTHA MARIE FRASER (DPT) is 1013714823

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA MARIE FRASER (DPT)
NPI
1013714823
Phone
(912) 898-7714
Address
111 JAZIE DR STE E
Enumeration Date
27 February 2025
Last Update Date
31 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8286843611
Graduation Year
2022 (4 years ago)
PAC ID
2961928650
Group Practice PAC ID
1850477266
Professional Enrollment ID
I20251028004094
Address ID
NC287047815AR600XXLNXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:1State licenses:3Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for SAMANTHA MARIE FRASER (DPT)

  • 111 JAZIE DR STE E

    SAVANNAH, GA 314101908

    Phone: (912) 898-7714

    Fax: (912) 898-7715

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250425000112IPhysical Therapist In Private PracticeSCTBD
I20251028004094IPhysical Therapist In Private PracticeNCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31410)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850477266View full group profile
NameSpecialtyState
-DC
-NC
Occupational Therapist In Private PracticeNC
Physical Therapist In Private PracticeNC
Physical Therapist In Private PracticeNC
Physical Therapist In Private PracticeNC
Physical Therapist In Private PracticeNC
Physical Therapist In Private PracticeNC
-NC
Occupational Therapist In Private PracticeCO

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Frequently asked questions

What NPI should I save for SAMANTHA MARIE FRASER (DPT)?
Save NPI 1013714823 if you need a stable reference for SAMANTHA MARIE FRASER (DPT).
Is SAMANTHA MARIE FRASER (DPT)'s NPI currently valid?
The extract we use shows SAMANTHA MARIE FRASER (DPT) as active.
What kind of provider is SAMANTHA MARIE FRASER (DPT)?
The page reflects Physical Therapist for SAMANTHA MARIE FRASER (DPT). Clinical services aligned with this taxonomy classification.
What location metadata exists for SAMANTHA MARIE FRASER (DPT)?
The page summarizes Savannah, Georgia for SAMANTHA MARIE FRASER (DPT); expand the address list for detail.
Is SAMANTHA MARIE FRASER (DPT) a real provider?
This page reflects official NPPES data for NPI 1013714823. Always confirm identity and privileges with the practice and licensing boards.