MEDICARE: SAMANTHA ERIN WALKER

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	TPT023557	PA
2	225100000X	Physical Therapist	PT030575	PA

General Provider Information

NPI Number	:	1164159976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA ERIN WALKER

Provider Business Mailing Address
First Line	:	1645 W 8TH ST
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16505
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1645 W 8TH ST
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16505
Country	:	US
Telephone Number	:	814-875-8752
Fax Number	:

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

Provider Enumeration Date	:	08/02/2022
Last Update Date	:	02/03/2026

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