Samantha Jo Spaeth (NPI# 1720637630, PAC ID# 0749511293) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1720637630 |
| PAC ID by PECOS | 0749511293 |
| Professional Enrollment ID | I20191014003244 |
| Full Name | Samantha Jo Spaeth |
| Organization Legal Name | TOTAL BALANCE PHYSICAL THERAPY AND FITNESS LLC |
| Address |
300 Main Ave Suite 200 Fargo ND 58103-1930 |
| Phone Number | 7012936037 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 8820356991 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2600 52nd Ave S, Fargo, ND 58104-7172 | 7013612280 | TOTAL BALANCE PHYSICAL THERAPY AND FITNESS LLC |
| 300 Main Ave, Suite 200, Fargo, ND 58103-1930 | 7012936037 | TOTAL BALANCE PHYSICAL THERAPY AND FITNESS LLC |
| Organization Legal Name | TOTAL BALANCE PHYSICAL THERAPY AND FITNESS LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Casey Robert Sailer | Physical Therapy | Total Balance Physical Therapy and Fitness LLC | 1461 Broadway N, Suite 105, Fargo, ND 58102-2622 |
| Anthony Heath Charbonneau | Physical Therapy | Total Balance Physical Therapy and Fitness LLC | 4041 Main Ave, Fargo, ND 58103-1145 |
| Mark Laraway | Physical Therapy | Total Balance Physical Therapy and Fitness LLC | 1461 Broadway N, Suite 105, Fargo, ND 58102-2622 |
| Brady Allen Seiler | Physical Therapy | Total Balance Physical Therapy and Fitness LLC | 1461 Broadway N, Suite 105, Fargo, ND 58102-2622 |
| Daniel W Johnson | Physical Therapy | Total Balance Physical Therapy and Fitness LLC | 1461 Broadway N, Suite 105, Fargo, ND 58102-2622 |
| Tyler Groth | Physical Therapy | Total Balance Physical Therapy and Fitness LLC | 1461 Broadway N, Suite 105, Fargo, ND 58102-2622 |
| Bailey Rose Plutowski | Registered Dietitian Or Nutrition Professional | Total Balance Physical Therapy and Fitness LLC | 1461 Broadway N, Suite 105, Fargo, ND 58102-2622 |
| Street Address |
300 MAIN AVE SUITE 200 |
| City | FARGO |
| State | ND |
| Zip | 58103-1930 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanne M Hall | Physical Therapy | Valley Medical Clinic PC | 300 Main Ave, Suite 200, Fargo, ND 58103-1930 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary E Johnson | Optometry | Mark Tufte Od PC | 1801 45th St S, Suite G, Fargo, ND 58103-0801 |
| Mark G Tufte | Optometry | Mark Tufte Od PC | 1801 45th St S, Suite G, Fargo, ND 58103-0801 |
| Anthony Heath Charbonneau | Physical Therapy | Total Balance Physical Therapy and Fitness LLC | 4041 Main Ave, Fargo, ND 58103-1145 |
| Scott B Phillips | Neurosurgery | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Marcus F Keep | Neurosurgery | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Behzad S Sabit | Neurosurgery | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Abdul A Baker | Neurosurgery | Sanford Clinic North | 700 1st Ave S, Fargo, ND 58103-1802 |
| Michael David Manchak | Neurology | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Tahereh Keshavarz | Physician Assistant | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Tong Yang | Neurosurgery | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Find all physicians in zip 58103 | |||
| City | FARGO |
| Zip Code | 58103 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FARGO + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Samantha Jo Spaeth.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.