SAMANTHA DEANN BEYER (PT) – Physical Therapist, NPI 1073946497

SAMANTHA DEANN BEYER (PT) is a healthcare provider. based in Green bay, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 12510-24 (WI). The NPI Number for SAMANTHA DEANN BEYER (PT) is 1073946497

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA DEANN BEYER (PT)
NPI
1073946497
Phone
(920) 445-7222
Address
PO BOX 22487
Enumeration Date
21 August 2013
Last Update Date
28 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9204964700
Graduation Year
2013 (13 years ago)
PAC ID
9638303597
Group Practice PAC ID
5799694675
Professional Enrollment ID
I20131008000570
Address ID
WI541629453PU940XXSTXX500

Contacts

Secure Messaging
sbeyer362349@ewd.direct.hshs.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

1,990 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

Provider Addresses for SAMANTHA DEANN BEYER (PT)

  • PO BOX 22487

    GREEN BAY, WI 543052487

    Phone: (920) 445-7222

    Fax: (920) 445-7289

    Type: Mailing

  • 1630 COMMANCHE AVE

    GREEN BAY, WI 54313

    Phone: (920) 430-4750

    Fax: (920) 430-4746

    Type: Location

  • 3263 Eaton Rd

    Green Bay, WI 543116830

    Phone: (920) 433-6700

    Fax: (920) 433-6719

    Type: Location

  • 1630 Commanche Ave

    Green Bay, WI 54313

    Phone: (920) 430-4750

    Fax: (920) 430-4746

    Type: Location

  • 1580 Commanche Ave

    Green Bay, WI 543135751

    Phone: (920) 920-4358

    Type: Location

  • 820 Arbutus Ave

    Oconto, WI 541532004

    Phone: (920) 835-1100

    Fax: (920) 835-1099

    Type: Location

  • 744 S Webster Ave

    Green Bay, WI 543013505

    Phone: (920) 433-7822

    Fax: (920) 433-3651

    Type: Location

  • PO BOX 19070

    GREEN BAY, WI 543079070

    Phone: (920) 496-4700

    Type: Mailing

  • 940 S SAINT AUGUSTINE ST

    PULASKI, WI 541629453

    Phone: (920) 496-4700

    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: 2013-10-08

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
I20131008000570IPhysical Therapist In Private PracticeWITBD

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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes18415$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes8014$0
View full utilization report →

Insurance plans in this area (ZIP 54305)

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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: 5799694675View full group profile
NameSpecialtyState
P O D I A T R YWI
-WI
-WI
Family Practice, Sports MedicineWI
-OH
Physical Therapist In Private PracticeWI
-WI
-WI
Internal Medicine, HospitalistWI
-WI

Reviews

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Frequently asked questions

Is there an official ID for SAMANTHA DEANN BEYER (PT) in U.S. healthcare records?
The official identifier for SAMANTHA DEANN BEYER (PT) is NPI 1073946497.
Active or inactive — what applies to SAMANTHA DEANN BEYER (PT)?
You should see SAMANTHA DEANN BEYER (PT) as active in CMS-hosted NPPES data.
How would a patient describe SAMANTHA DEANN BEYER (PT)'s focus?
For SAMANTHA DEANN BEYER (PT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Is SAMANTHA DEANN BEYER (PT) located near Green Bay?
SAMANTHA DEANN BEYER (PT) currently maps to Green Bay, Wisconsin in this extract.
When was this NPI issued?
Enumeration for SAMANTHA DEANN BEYER (PT) is noted as August 21, 2013 where the registry provides it.

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