MEDICARE: MRS. SAMANTHA ANNA FALLON P.T.

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	PT02062	RI

General Provider Information

NPI Number	:	1912127937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SAMANTHA ANNA FALLON P.T.

Provider Business Mailing Address
First Line	:	5835 POST RD STE 112
Second Line	:
City	:	E GREENWICH
State	:	RI
Zip	:	02818-2154
Country	:	US
Telephone Number	:	401-885-0051
Fax Number	:	401-885-0045

Provider Business Practice Location Address
First Line	:	5835 POST RD
Second Line	:	STE 112
City	:	EAST GREENWICH
State	:	RI
Zip	:	02818-2154
Country	:	US
Telephone Number	:	401-885-0051
Fax Number	:	401-885-0054

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

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	03/26/2026

Similar Medicare Providers

1508964636 — MR. SIAVASH GHOREISHI MD
Practice Location Address:

5835 POST ROAD , PLAZA 2 SUITE 110
EAST GREENWICH, RI
02818-2154

Practice Phone: 401-885-3390
Practice Fax: 401-885-8713

1346440948 — DR. NICOLE D KIM DMD
Practice Location Address:

5835 POST RD , SUITE 113
EAST GREENWICH, RI
02818-2154

Practice Phone: 401-884-3340
Practice Fax:

1689836363 — MS. JEWEL LYNN SOMMERVILLE D. AC.
Practice Location Address:

5835 POST RD , SUITE 113
EAST GREENWICH, RI
02818-2154

Practice Phone: 401-398-2933
Practice Fax:

1780278150 — MICHELLE FISETTE PT, DPT
Practice Location Address:

5835 POST RD STE 112
EAST GREENWICH, RI
02818-2154

Practice Phone: 401-885-0051
Practice Fax: 401-885-0054

1760240865 — SIMON OLAOYE DPT
Practice Location Address:

5835 POST RD STE 112
EAST GREENWICH, RI
02818-2154

Practice Phone: 401-885-0051
Practice Fax:

1316894405 — YAHWEH SOCIAL SERVICES INC
Practice Location Address:

37 EVERGREEN PL
EAST ORANGE, NJ
07018-2154

Practice Phone: 516-450-2207
Practice Fax:

Directions to “ MRS. SAMANTHA ANNA FALLON P.T.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.