Provider Demographics
NPI:1952297889
Name:BENITEZ, SAMANTHA ADLINA (PT)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:ADLINA
Last Name:BENITEZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2967 OAK RUN PKWY STE 505
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-5454
Mailing Address - Country:US
Mailing Address - Phone:830-837-1758
Mailing Address - Fax:830-310-7901
Practice Address - Street 1:2967 OAK RUN PKWY STE 505
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-5454
Practice Address - Country:US
Practice Address - Phone:830-837-1758
Practice Address - Fax:830-310-7901
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1175600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty