Individual provider Active NPI

Samantha K. Pittsford, PT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1073874517
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1218742 Issued in TX
Practice address
11675 Jollyville Rd
Suite 207
Austin, TX 78759-4105
Phone
(512) 856-1000
Fax
(512) 856-4040
NPI assigned
May 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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 1218742 TX Primary

Addresses

Primary practice location

11675 Jollyville Rd
Suite 207
Austin, TX 78759-4105

Mailing address

11675 Jollyville Rd, Ste 207
Austin, TX 78759-4105
Phone (512) 856-1000

Other identifiers 1

IdentifierTypeStateIssuer
876T48OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120823000795 TX Practitioner - Physical Therapist in Private Practice 9234386392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellah Therapies LLCGroup PAC ID 3072817873, 9 clinicians

Practice addresses (Care Compare)

581 Pan American Dr
Suite 3
Harker Heights, TX 76548-1960
Phone (254) 394-2710

Merit-based Incentive Payment System (MIPS)

Final score
73.17 of 100Reported as group
Quality
65.64
Improvement activities
40
Cost
56.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1218742TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellah Therapies LLC Physical Therapist CurrentSince Sep 22, 2025 Accepting new patients

Locations

581 Pan American Dr
Ste 3
Harker Heights, TX 76548
Phone (254) 394-2710

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26887/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1073874517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11675 JOLLYVILLE RD, STE 207",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594105",
            "telephone_number": "512-856-1000",
            "fax_number": "512-856-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11675 JOLLYVILLE RD",
            "address_2": "SUITE 207",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594105",
            "telephone_number": "512-856-1000",
            "fax_number": "512-856-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTSFORD",
        "first_name": "SAMANTHA",
        "middle_name": "K.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1218742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "876T48",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.