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NPI Code Detail

MEDICARE: SAMANTHA S STONE PT, DPT, CMTPT

MEDICARE:   SAMANTHA S STONE  PT, DPT, CMTPT
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
1225100000XPhysical Therapist2305207693VA

General Provider Information

NPI Number : 1922352772
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA S STONE PT, DPT, CMTPT
Provider Business Mailing Address
First Line : 8201 ATLEE RD STE D
Second Line :
City : MECHANICSVILLE
State : VA
Zip : 23116-1815
Country : US
Telephone Number : 804-569-1787
Fax Number : 804-569-9787
Provider Business Practice Location Address
First Line : 4101 COX RD STE 100
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060
Country : US
Telephone Number : 804-716-0457
Fax Number : 804-716-0496
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2012
Last Update Date : 06/01/2026

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Directions to “ SAMANTHA S STONE PT, DPT, CMTPT” Practice Location

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