IndividualActive
Samantha Percich
NPI 1639623911 · Orthopedic Physical Therapist · Glen Carbon, IL
Provider details
- NPI number
- 1639623911
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2016027389 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4280 S State Route 159
Glen Carbon, IL 62034-3269
Phone: (618) 288-4233
Street-level locationGet directions
Mailing address
15 Apex Dr
Highland, IL 62249-1282
Registry dates
- Enumerated
- 2016-08-04
- Last updated
- 2018-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.