SAMANTHA JEAN SHALLOW
NPI 1023971298
Physical Therapist in Marinette, WI

Active since December 04, 2025Accepts Medicare Assignment
2820 ROOSEVELT RD, MARINETTE, WI 54143(920) 430-4880 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samantha Jean Shallow NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA JEAN SHALLOW (NPI 1023971298) is an individual physical therapist in Marinette, Wisconsin, licensed in Wisconsin (17541-24) and active in the NPI registry since December 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1023971298
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameSAMANTHA JEAN SHALLOW
Location Address2820 ROOSEVELT RDMarinette, WI 54143-3834
Mailing Address10678 County Road GColeman, WI 54112-9693
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 4, 2025
NPPES CertifiedDecember 4, 2025
✔ NPI 1023971298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in WI · 17541-24
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
2820 ROOSEVELT RD, Marinette, WI 54143

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Jean Shallow is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618455718
PECOS Enrollment IDI20260130000553

Medicare Billing Reassignments

2

Medicare enrollment records show Samantha Shallow reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
2820 ROOSEVELT ROAD
Marinette, WI 54143
  • Reassigned Medicare billing, Wisconsin enrollment
  • 573 clinicians in this Medicare group
Physical Medicine & Rehabilitation
3905 HALL AVE
Marinette, WI 54143
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
2820 ROOSEVELT RD
MARINETTE, WI 54143
Nurse Practitioner
2820 ROOSEVELT RD
MARINETTE, WI 54143
Physical Therapist
2820 ROOSEVELT RD
MARINETTE, WI 54143
Clinic/Center
2820 ROOSEVELT RD
MARINETTE, WI 54143
Dietitian, Registered
2820 ROOSEVELT RD
MARINETTE, WI 54143
Physical Therapist
2820 ROOSEVELT RD
MARINETTE, WI 54143
Nurse Practitioner (Family)
2820 ROOSEVELT RD
MARINETTE, WI 54143
Nurse Practitioner
2820 ROOSEVELT RD
MARINETTE, WI 54143

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Shallow's NPI number?

The NPI number for Samantha Shallow is 1023971298. It was assigned to this individual provider in the NPPES registry on December 4, 2025.

Where is Samantha Shallow located?

Samantha Shallow practices at 2820 Roosevelt Rd, Marinette, WI 54143. The listed phone number is (920) 430-4880.

What is Samantha Shallow's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Samantha Shallow enrolled in Medicare?

Yes. Samantha Shallow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Samantha Shallow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Shallow reassigns Medicare benefits to 2 organizations: Oconto Hospital & Medical Center Inc (Marinette, WI) and Bellin Memorial Hospital Inc (Marinette, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Shallow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Shallow accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Samantha Shallow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Shallow was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.