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SAMANTHA PERCICH
NPI 1639623911
Physical Therapist - Orthopedic in Glen Carbon, IL

Active since August 04, 2016
4280 S STATE ROUTE 159, GLEN CARBON, IL 62034(618) 288-4233 Get Directions Write a Review

NPPES record last updated: October 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Percich NPPES

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

SAMANTHA PERCICH (NPI 1639623911) is an individual orthopedic provider in Glen Carbon, Illinois, licensed in Missouri (2016027389) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1639623911
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameSAMANTHA PERCICH
Location Address4280 S STATE ROUTE 159Glen Carbon, IL 62034-3269
Mailing Address15 Apex DrHighland, IL 62249-1282 · (618) 441-0482
Phone(618) 288-4233
Sole ProprietorNo
Enumeration DateAugust 4, 2016
Last NPPES UpdateOctober 12, 2018
✔ NPI 1639623911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in MO · 2016027389
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
4280 S STATE ROUTE 159, Glen Carbon, IL 62034
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Other Names 1

Former Name (1)Samantha Schlake

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
96%28 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

APEX PHYSICAL THERAPY, LLC
Clinic/Center (Physical Therapy)
4280 S STATE ROUTE 159, STE 3
GLEN CARBON, IL 62034
Madison County (618) 288-4233

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 Percich's NPI number?

The NPI number for Samantha Percich is 1639623911. It was assigned to this individual provider in the NPPES registry on August 4, 2016. The provider is also known as Samantha Schlake.

Where is Samantha Percich located?

Samantha Percich practices at 4280 S State Route 159, Glen Carbon, IL 62034. The listed phone number is (618) 288-4233.

What is Samantha Percich's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Samantha Percich was last updated on October 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.