MEDICARE: SAMANTHA JUSTICE MEYERS

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	26606	FL

General Provider Information

NPI Number	:	1982992061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA JUSTICE MEYERS

Provider Business Mailing Address
First Line	:	7559 GREAT OAK DR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7108
Country	:	US
Telephone Number	:	561-602-6589
Fax Number	:

Provider Business Practice Location Address
First Line	:	3500 CLUBHOUSE LN
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-6002
Country	:	US
Telephone Number	:	561-735-8559
Fax Number	:	561-536-5852

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

Provider Enumeration Date	:	07/11/2011
Last Update Date	:	05/25/2026

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