Individual provider Active NPI

Samantha Wyler, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1093454860
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0018292 Issued in CO
Practice address
1574 S Pearl St
Denver, CO 80210-2635
Phone
(305) 984-7076
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 33246 FL
Physical Therapist 225100000X PTL.0018292 CO Primary

Addresses

Primary practice location

1574 S Pearl St
Denver, CO 80210-2635

Mailing address

6228 Jellison Way
Arvada, CO 80004-5168
Phone (305) 984-7076

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220815000050 CO Practitioner - Physical Therapist in Private Practice 9739562497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bodyintel, LLCGroup PAC ID 3476788456, 6 clinicians

Practice addresses (Care Compare)

1574 S Pearl St
Denver, CO 80210-2635
Phone (303) 777-5263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33246FLMDNeurology Physician
PTL.0018292COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bodyintel, LLC Physical Therapist CurrentSince Jun 6, 2022 Accepting new patients

Locations

1574 S Pearl St
Denver, CO 80210
Phone (303) 777-5263

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": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1093454860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6228 JELLISON WAY",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800045168",
            "telephone_number": "305-984-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1574 S PEARL ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102635",
            "telephone_number": "305-984-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLER",
        "first_name": "SAMANTHA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "33246",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0018292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.