Individual provider Active NPI

Samuel Joseph Loveland

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1023698974
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1505 NE 40TH Ave Ste C
Portland, OR 97232-1861
Phone
(503) 210-1425
NPI assigned
Apr 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1505 NE 40TH Ave Ste C
Portland, OR 97232-1861

Mailing address

1905 SE 192ND Ave Ste 109
Camas, WA 98607-7415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210503000724 OR Practitioner - Physical Therapist in Private Practice 5698184745 Reassigns benefits to 2 organizations
I20240816000704 MN Practitioner - Physical Therapist in Private Practice 5698184745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Orthopedics, LTDGroup PAC ID 8921900374, 282 clinicians

Practice addresses (Care Compare)

11995 Singletree LN
Suite 325
Eden Prairie, MN 55344-5347
Phone (651) 968-5201

Merit-based Incentive Payment System (MIPS)

Final score
85.22 of 100Reported as group
Quality
87.65
Improvement activities
40
Cost
73.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Orthopedics, LTD. CurrentSince Sep 9, 2024 Accepting new patients
Peak Motion, PLLC Physical Therapist CurrentSince Nov 13, 2023 Accepting new patients
Summit Orthopedics, LTD Current Accepting new patients
Summit Orthopedics LTD CurrentSince Sep 9, 2024 Accepting new patients
Ilbnc, P.a. Past Accepting new patients

Locations

11995 Singletree Ln
Ste 325
Eden Prairie, MN 55344

15450 Highway 7
Ste 125
Minnetonka, MN 55345
Phone (763) 581-8950

1661 Saint Anthony Ave
Saint Paul, MN 55104
Phone (651) 968-5300

710 Commerce Dr
Ste 200
Woodbury, MN 55125
Phone (651) 968-5042

1505 NE 40th Ave
Ste C
Portland, OR 97232
Phone (503) 210-1425

1905 SE 192nd Ave
Ste 109
Camas, WA 98607
Phone (360) 210-5440

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1023698974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 SE 192ND AVE STE 109",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 NE 40TH AVE STE C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321861",
            "telephone_number": "503-210-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELAND",
        "first_name": "SAMUEL",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-13",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.