Doctor profile · Federal record
Dr. Emilie Samp, PT, DPT
Physical Therapist · Physical Therapist · Fort Wayne, IN
- NPI 1104565027
- MIPS 81.2 / 100 · 2023
- 4 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
11143 Parkview Plaza Dr Ste 100
Fort Wayne, IN 468451728
(260) 266-7400
fax (260) 266-7439 - Mailing address
-
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 468451701
Credentials & registration
- NPI registered
- May 2022 — 4 yrs on file
- Profile last updated
- July 10, 2023
- Specialty taxonomy
- 225100000X — NUCC code
- State licenses (2)
- Indiana #05015114A · California #301446
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104565027. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
754
Distinct HCPCS
5
Medicare allowed
$19,608
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 380 | 38 | $25 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 165 | 32 | $22 | |
97530 |
Therapy procedure using functional activities | 127 | 30 | $35 | |
97150 |
Therapy procedure in a group setting | 71 | 20 | $15 | |
97162 |
Evaluation for physical therapy, typically 30 minutes | 11 | 11 | $101 |
In context: peer comparison
Among 64 peers in Fort Wayne Physical Therapist, average services per provider: 245. This provider delivers 3.1× the peer median.Frequently asked questions
What is Dr. Emilie Samp's medical specialty?
Dr. Emilie Samp practices Physical Therapist in Fort Wayne, IN.
Where does Dr. Emilie Samp practice?
Dr. Emilie Samp practices at 11143 Parkview Plaza Dr Ste 100, Fort Wayne, IN 468451728. Office phone: 2602667400.
What is Dr. Emilie Samp's NPI?
Dr. Emilie Samp's National Provider Identifier (NPI) is 1104565027, issued by NPPES.
What procedures does Dr. Emilie Samp commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure using manual technique (HCPCS 97140); Therapy procedure using functional activities (HCPCS 97530). Source: CMS Medicare Physician & Other Practitioners file.