Samantha Lee Linville (NPI# 1407100746, PAC ID# 9234375072) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1407100746 |
| PAC ID by PECOS | 9234375072 |
| Professional Enrollment ID | I20181210002350 |
| Full Name | Samantha Lee Linville |
| Organization Legal Name | BOOST SPORTS PERFORMANCE LLC |
| Address |
1460 Nw Olympic Dr Suite J Grain Valley MO 64029-7865 |
| Phone Number | 8168670066 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 8921171604 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1460 Nw Olympic Dr, Suite J, Grain Valley, MO 64029-7865 | 8168670066 | BOOST SPORTS PERFORMANCE LLC |
| 3801 Selsa Rd, Suite 7, Independence, MO 64057-1712 | 8167950434 | BOOST SPORTS PERFORMANCE LLC |
| Organization Legal Name | BOOST SPORTS PERFORMANCE LLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hana Petersen | Physical Therapy | Boost Sports Performance LLC | 17011 Bel Ray Blvd Belton Raymore, Belton, MO 64012-5371 |
| Edward Pilgrim | Physical Therapy | Boost Sports Performance LLC | 1254 Se Century Dr, Lees Summit, MO 64081-3286 |
| William Patrick Streck | Physical Therapy | Boost Sports Performance LLC | 3801 Selsa Rd, Suite 7, Independence, MO 64057-1712 |
| Patnakon Kevin Sonthana | Physical Therapy | Boost Sports Performance LLC | 2105 Kara Ct, Suite 1 A, Liberty, MO 64068-1395 |
| Zachary T Koelling | Physical Therapy | Boost Sports Performance LLC | 2105 Kara Ct, Suite 1 A, Liberty, MO 64068-1395 |
| Thomas Hargrave | Physical Therapy | Boost Sports Performance LLC | 3801 Selsa Rd, Suite 7, Independence, MO 64057-1712 |
| Michael Ryan Johnson | Physical Therapy | Boost Sports Performance LLC | 3801 Selsa Rd, Suite 7, Independence, MO 64057-1712 |
| Aaron D Horschig | Physical Therapy | Boost Sports Performance LLC | 2105 Kara Ct, Suite 1 A, Liberty, MO 64068-1395 |
| Mary Suellentrop | Physical Therapy | Boost Sports Performance LLC | 17011 Bel Ray Blvd Belton Raymore, Belton, MO 64012-5371 |
| Zachary Lee Hershberger | Physical Therapy | Boost Sports Performance LLC | 3801 Selsa Rd, Suite 7, Independence, MO 64057-1712 |
| Street Address |
1460 NW OLYMPIC DR SUITE J |
| City | GRAIN VALLEY |
| State | MO |
| Zip | 64029-7865 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brad A Mouse | Family Medicine | 1101 Nw Pamela Blvd A, Grain Valley, MO 64029-7803 | |
| John Michael Doerries | Physical Therapy | Serc Rehabilitation Partners LLC | 103 Sw Eagles Pkwy, Serc Grain Valley, Grain Valley, MO 64029-8512 |
| Asa Montana Shaffer | Physical Therapy | Serc Rehabilitation Partners LLC | 103 Sw Eagles Pkwy, Serc Grain Valley, Grain Valley, MO 64029-8512 |
| Megan A Hottel | Physician Assistant | University Health Physicians | 1439 S Minter Way, Grain Valley, MO 64029-9648 |
| Joseph L Nichols | Nurse Practitioner | Truman Medical Center Incorporated | 1439 Minter Way, Truman Medical Center Incorporated Grain Valley Fa, Grain Valley, MO 64029-9648 |
| Michelle L Hirsch | Nurse Practitioner | Truman Medical Center Incorporated | 1439 Minter Way, Truman Medical Center Incorporated Grain Valley Fa, Grain Valley, MO 64029-9648 |
| Cassie R Anderson | Nurse Practitioner | Truman Medical Center Incorporated | 1439 Minter Way, Truman Medical Center Incorporated Grain Valley Fa, Grain Valley, MO 64029-9648 |
| Catherine Ann Dowd | Chiropractic | 203 S Main St, Suite D, Grain Valley, MO 64029-9703 |
| City | GRAIN VALLEY |
| Zip Code | 64029 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | GRAIN VALLEY + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Samantha Lee Linville.
| 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.