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NPI Code Detail

MEDICARE: SAMANTHA COZART PTA

MEDICARE: SAMANTHA COZART PTA
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
1225200000XPhysical Therapy AssistantA8112NC

General Provider Information

NPI Number : 1972467439
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA COZART PTA
Provider Business Mailing Address
First Line : 1627 FLOUNDER LN
Second Line :
City : WILMINGTON
State : NC
Zip : 28409-4577
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5725 CAROLINA BEACH RD
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-2611
Country : US
Telephone Number : 910-792-1455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “ SAMANTHA COZART PTA” Practice Location

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