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NPI Code Detail

MEDICARE: SAMANTHA MARIE NEWELL

MEDICARE: SAMANTHA MARIE NEWELL
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
12251P0200XPediatric Physical Therapist06006984AIN

General Provider Information

NPI Number : 1588517353
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA MARIE NEWELL
Provider Business Mailing Address
First Line : 4935 HILLEGAS RD STE 200
Second Line :
City : FORT WAYNE
State : IN
Zip : 46818-1943
Country : US
Telephone Number : 260-338-1241
Fax Number :
Provider Business Practice Location Address
First Line : 4935 HILLEGAS RD STE 200
Second Line :
City : FORT WAYNE
State : IN
Zip : 46818-1943
Country : US
Telephone Number : 260-338-1241
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2026
Last Update Date : 02/19/2026

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Directions to “ SAMANTHA MARIE NEWELL ” Practice Location

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