IndividualActive
Samantha Federico, PTA
NPI 1679709604 · Physical Therapy Assistant · Chesterton, IN
Provider details
- NPI number
- 1679709604
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 99037822A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
1120 S Calumet Rd Ste 3
Chesterton, IN 46304-3286
Phone: (219) 983-9675
Fax: (219) 983-9681
Street-level locationGet directions
Mailing address
12258 Perry St
Crown Point, IN 46307-7047
Registry dates
- Enumerated
- 2009-06-04
- Last updated
- 2015-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.