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Samantha E. Vanderburg, PTA

NPI 1316513583ActiveIndividual· Physical Therapy Assistant· Broken Arrow, OK

Physical Therapy Assistant (PTA) in Broken Arrow, Oklahoma, licensed in OK, with an NPI issued in May 2021.

Overview

NPI1316513583
StatusActive
Entity typeIndividual
CredentialPTA
Sole proprietorNo
NPI issuedMay 28, 2021
Last updated in NPPESMay 28, 2021
Certified by providerMay 19, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary225200000X2928OK

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other physical therapist assistants in Broken Arrow

All 39 physical therapist assistants in Broken Arrow · All physical therapist assistants in Oklahoma