Justin Ralph Samson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1269506 Issued in TX

Practice address

12611 Hymeadow Dr
Austin, TX 78729-2700

Phone

(512) 996-0441

NPI assigned

Mar 3, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, CO2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centura Ventures, LLCGroup PAC ID 8628989043, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Centura Ventures, LLC

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1073882197

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Action Potential RLLP

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1699939850
  Medicare reassignment NPD
• Desert Orthopaedic Center, LTD.

  • Orthopaedic Surgery Physician
  • Las Vegas, NV
  • NPI 1548235302
  Medicare reassignment NPD
• Intermountain Medical Group Denver, LLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1083021083
  Medicare reassignment NPD
• Colorado Luna Care Physical Therapy LLC

  • Physical Therapist
  • Denver, CO
  • NPI 1891461125
  Medicare reassignment
• Action Potential RLLP

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1093736316
  NPD
• Action Potential RLLP

  • Multi-Specialty Clinic/Center
  • Colorado Springs, CO
  • NPI 1265274948

  Physical Therapist

  NPD
• Catholic Health Initiatives Colorado

  • Physical Therapy Clinic/Center
  • Durango, CO
  • NPI 1093137796

  Physical Therapist

  NPD
• Centura Ventures, LLC

  • Physical Therapy Clinic/Center
  • Frisco, CO
  • NPI 1124854526
  NPD
• Centura Ventures, LLC

  • Physical Therapy Clinic/Center
  • Woodland Park, CO
  • NPI 1891327920
  NPD
• Intermountain Medical Group Denver, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Denver, CO
  • NPI 1083598874
  NPD
• Intermountain Medical Group Denver, LLC

  • Hematology & Oncology Physician
  • Denver, CO
  • NPI 1558975953
  NPD

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1114387198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12611 HYMEADOW DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787292700",
            "telephone_number": "512-996-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12611 HYMEADOW DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787292700",
            "telephone_number": "512-996-0441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4925 N Nevada Ave",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80918",
            "country_code": "US",
            "telephone_number": "719-776-3780",
            "fax_number": "719-776-3781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "JUSTIN",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-03",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1269506",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0018558",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sams East Inc
• Sams East Inc
• Sams East Inc
• Sams East Inc
• Sams East Inc
• Diana Tressa Samuel, M.D.
• Shirlene Samuel, DO
• Samiyah Brielle Samuels
• Cassie Jane Samuelson, LPC
• Scott A Samuelson, D.D.S.

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

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