IndividualActive
Samantha Ebanks, PTA
NPI 1982230793 · Physical Therapy Assistant · Melbourne, FL
Provider details
- NPI number
- 1982230793
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 30140 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
903 Jordan Blass Dr Ste 104
Melbourne, FL 32940-1325
Phone: (803) 287-8821
Street-level locationGet directions
Mailing address
182 S Pinehurst Ave
Melbourne, FL 32940-7648
Additional practice locations (2)
- 182 S Pinehurst AveMelbourne, FL 32940-7648Phone: (803) 287-8821
- North 1024 Florida A1a#142Satellite Beach, FL 32937Phone: (321) 773-3325
Registry dates
- Enumerated
- 2020-03-13
- Last updated
- 2020-08-26
- Certified
- 2020-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.