MEDICARE: SAMANTHA DAPKIEWICZ PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1365374	TX

General Provider Information

NPI Number	:	1043148265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA DAPKIEWICZ PT, DPT

Provider Business Mailing Address
First Line	:	2122 YORK RD STE 300
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-1925
Country	:	US
Telephone Number	:	630-575-1980
Fax Number	:

Provider Business Practice Location Address
First Line	:	12345 ALTA VISTA RD STE 113
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-6436
Country	:	US
Telephone Number	:	682-593-2550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2026
Last Update Date	:	05/26/2026

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