SAMANTHA TALIAFERRO (PT) – Physical Therapist, NPI 1174175400

SAMANTHA TALIAFERRO (PT) is a healthcare provider. based in Boerne, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 1279251 (TX). The NPI Number for SAMANTHA TALIAFERRO (PT) is 1174175400

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA TALIAFERRO (PT)
NPI
1174175400
Phone
(817) 721-1733
Address
237 SANDY SHL
Enumeration Date
16 July 2019
Last Update Date
2 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
9073127044
Graduation Year
2016 (10 years ago)
PAC ID
3971972159
Group Practice PAC ID
3072891779
Professional Enrollment ID
I20221209001688
Address ID
AK996547289WA1981XHWYX515
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:6State licenses:2Digital endpointsOther names

458 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AK

Provider Addresses for SAMANTHA TALIAFERRO (PT)

  • 237 SANDY SHL

    BOERNE, TX 780061973

    Phone: (817) 721-1733

    Type: Mailing

  • 475 Riverstone Way Ste 2

    Fairbanks, AK 997092971

    Phone: (907) 312-7044

    Type: Location

  • 5410 FREDERICKSBURG RD STE 100

    SAN ANTONIO, TX 782293550

    Phone: (210) 541-0058

    Fax: (210) 525-1228

    Type: Location

  • 1351 VALLEY DR

    NORTH POLE, AK 997055364

    Phone:

    Type: Mailing

  • 1981 E PALMER WASILLA HWY STE 230

    WASILLA, AK 996547289

    Phone: (907) 312-7044

    Type: Location

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: 2022-12-09

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
I20221209001688IPhysical Therapist In Private PracticeAKTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes27944$0
97530Therapy procedure using functional activities27041$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes23237$0
97140Therapy procedure using manual technique, each 15 minutes10328$0
97162Evaluation for physical therapy, typically 30 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 78006)

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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: 3072891779View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAK

Reviews

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Frequently asked questions

How do payers reference SAMANTHA TALIAFERRO (PT)?
For SAMANTHA TALIAFERRO (PT), use NPI 1174175400 as the unique 10-digit identifier.
Would SAMANTHA TALIAFERRO (PT) appear as active to a payer?
You can treat SAMANTHA TALIAFERRO (PT) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe SAMANTHA TALIAFERRO (PT)'s focus?
For SAMANTHA TALIAFERRO (PT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Is SAMANTHA TALIAFERRO (PT) associated with Boerne?
Public fields place SAMANTHA TALIAFERRO (PT) around Boerne, Texas. Always confirm the exact site before visiting.
Can I trust this NPI listing for SAMANTHA TALIAFERRO (PT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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