| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SAMANTHA RASMUSSEN | 1790182749 | 2014-11-19 |
Samantha Rasmussen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1790182749. Registration indicates Samantha Rasmussen is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Physical Therapy, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Clinic/Center Physical Therapy, Ambulatory Health Care Facilities) (Clinic/Center, ) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist) (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Samantha Rasmussen PT, DPT, ATC |
| Practice Office Address | 2500 W FABYAN PKWY BATAVIA, IL US |
| Practice Office Telephone | 6303649158 |
| Mailing Address | 28594 NETWORK PL CHICAGO, IL 606731285 US |
| Business Telephone | 6308596800 |
| FHIR URL [] | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 261QP2000X | Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Physical Therapy Speech/Occupational/Physical Therapy/Chiropractor Clinic/Center Physical Therapy Ambulatory Health Care Facilities Clinic/Center | |
| 225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 096003617
IL |