Samantha Kilbourne
NPI 1205563798ActiveIndividual· Physical Therapist· San Tan Valley, AZ
Physical Therapist with 360 Physical Therapy LLC, practicing in San Tan Valley, Arizona. Medicare paid $3,406 for services to 13 patients in 2024.
Overview
| NPI | 1205563798 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 4, 2022 |
| Last updated in NPPES | Jul 9, 2024 |
| Certified by provider | Jul 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | LPT-033380 | AZ |
| Physical Therapist | 225100000X | PT38902 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (AZ); Practitioner - Physical Therapist in Private Practice (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 176 across 6 procedure codes |
| Paid by Medicare | $3,406 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- 360 Physical Therapy LLCMesa, AZ · 86 clinicians
Other physical therapists in San Tan Valley
- 1083623854
- 1245942325
- 1255817177
- 1285133116
- 1306476007
- 1366750101
- 1396573416
- 1447877105
- 1518716786
- 1598451098
- 1669975785
- 1760715866
All 33 physical therapists in San Tan Valley · All physical therapists in Arizona