Samantha Bernardo Paredes
NPI 1487201638ActiveIndividual· Physical Therapist· Ellenwood, GA
Physical Therapist in Ellenwood, Georgia, trained at Marymount University (class of 2019). Medicare paid $7,096 for services to 35 patients in 2024.
Overview
| NPI | 1487201638 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 22, 2019 |
| Last updated in NPPES | Apr 9, 2025 |
| Certified by provider | Apr 9, 2025 |
| Reactivated | Sep 5, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | CP042155T | GA |
| Physical Therapist | 225100000X | 2305213099 | VA |
| Physical Therapist | 225100000X | — | — |
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 (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 35 |
|---|---|
| Services billed | 363 across 7 procedure codes |
| Paid by Medicare | $7,096 |
Education and affiliations
| Medical school | Marymount University |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Georgia Luna Care Physical Therapy LLCAtlanta, GA · 166 clinicians
- Benchmark Physical Therapy, IncJonesboro, GA · 68 clinicians
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All 18 physical therapists in Ellenwood · All physical therapists in Georgia