MEDICARE: SAMANTHA RISA FALIKS 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	027175-1	NY
2	225100000X	Physical Therapist	40324	FL

General Provider Information

NPI Number	:	1952380321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA RISA FALIKS P.T.

Provider Business Mailing Address
First Line	:	105 E PIGEON PLUM DR APT 101
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-7864
Country	:	US
Telephone Number	:	516-435-8363
Fax Number	:

Provider Business Practice Location Address
First Line	:	1180 SPRING CENTRE SOUTH BLVD STE 225
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-1991
Country	:	US
Telephone Number	:	407-495-1165
Fax Number	:

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

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	08/08/2025

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