DR. SAMANTHA DEE CLEVENGER DC
NPI 1104154285
Chiropractor - Rehabilitation in Tumwater, WA

Active since November 30, 2009Accepts Medicare Assignment
2806 29TH AVE SW STE A, TUMWATER, WA 98512(360) 589-9733 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2025, Apr 8, 2024, Dec 5, 2022 and 2 more (5 updates tracked since 2019).

About Dr. Samantha Dee Clevenger Dc NPPES

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

DR. SAMANTHA DEE CLEVENGER DC (NPI 1104154285) is an individual rehabilitation provider in Tumwater, Washington, licensed in Washington (CH60924395) and active in the NPI registry since November 2009. She is a graduate of Western States College Of Chiropractic (2018).

NPPES Registry Identity

NPI1104154285
Entity TypeIndividualFemale
Primary Taxonomy111NR0400X
Provider Legal NameDR. SAMANTHA DEE CLEVENGERCredential: DC
Location Address2806 29TH AVE SW STE ATumwater, WA 98512-6155
Mailing Address7711 Atchinson Ln SeOlympia, WA 98513-5316 · (360) 589-9733
Sole ProprietorNo
Medical School CMSWestern States College Of ChiropracticGraduated 2018
Enumeration DateNovember 30, 2009
Last NPPES UpdateFebruary 24, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
NPI 1104154285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractor · RehabilitationChiropractic Providers
Taxonomy Code111NR0400X
License Licensed in WA · CH60924395
Definition
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.
2806 29TH AVE SW STE A, Tumwater, WA 98512

Other Identifiers 1

OtherCH60924395WA · Chiropractic License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Samantha Dee Clevenger Dc 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 ID9436499662
PECOS Enrollment IDI20190325002233

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 Clevenger's NPI number?

The NPI number for Samantha Clevenger is 1104154285. It was assigned to this individual provider in the NPPES registry on November 30, 2009.

Where is Samantha Clevenger located?

Samantha Clevenger practices at 2806 29th Ave SW Ste A, Tumwater, WA 98512. The listed phone number is (360) 589-9733.

What is Samantha Clevenger's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

Is Samantha Clevenger enrolled in Medicare?

Yes. Samantha Clevenger 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.

What insurance does Samantha Clevenger accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Samantha Clevenger 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 Clevenger was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.