MRS. SAMANTHA ALLISON STAHL (MPT) – Physical Therapist, NPI 1679649008

MRS. SAMANTHA ALLISON STAHL (MPT) is a healthcare provider. based in Evans, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT. They hold a License No. PT007370 (GA). The NPI Number for MRS. SAMANTHA ALLISON STAHL (MPT) is 1679649008

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SAMANTHA ALLISON STAHL (MPT)
NPI
1679649008
Phone
(706) 854-8434
Address
536 GRAND SLAM DR
Enumeration Date
28 November 2006
Last Update Date
15 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7209260103
Graduation Year
2001 (25 years ago)
PAC ID
7416380076
Group Practice PAC ID
7012438955
Professional Enrollment ID
I20191212001214
Address ID
CO801115125GR6143XDRXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,988 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CO

Provider Addresses for MRS. SAMANTHA ALLISON STAHL (MPT)

  • 536, Grand Slam Drive, Evans Mill, Evans, Columbia County, Georgia, 30809, United States

    EVANS, GA 308098014

    Phone: (706) 854-8434

    Fax: (706) 854-8435

    Type: Mailing

  • 3989 E ARAPAHOE ROAD

    SUITE 120

    CENTENNIAL, CO 801227044

    Phone: (303) 740-2026

    Fax: (303) 770-5459

    Type: Mailing

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: 2019-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20191212001214IPhysical Therapist In Private PracticeCOTBD

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 30809)

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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: 7012438955View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMO

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Frequently asked questions

What is the standard ID for MRS. SAMANTHA ALLISON STAHL (MPT) in the U.S.?
In the U.S., MRS. SAMANTHA ALLISON STAHL (MPT) is identified by NPI 1679649008.
Is MRS. SAMANTHA ALLISON STAHL (MPT)'s NPI status active today?
Active status means MRS. SAMANTHA ALLISON STAHL (MPT)'s NPI record is not deactivated in the public file.
What services align with MRS. SAMANTHA ALLISON STAHL (MPT)'s listing?
MRS. SAMANTHA ALLISON STAHL (MPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MRS. SAMANTHA ALLISON STAHL (MPT) tied to Evans, Georgia?
If you are local to Evans, Georgia, MRS. SAMANTHA ALLISON STAHL (MPT) may be relevant to your search.
Can I export MRS. SAMANTHA ALLISON STAHL (MPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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