Samantha Lubov Santiago

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0003701 Issued in CO

Practice address

110 1/2 N Tejon St Ste 204
Colorado Springs, CO 80903-1434

Phone

(719) 362-0660

NPI assigned

Mar 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha Lubov Virbitsky Former name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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.

• Paragon Outpatient Rehabilitation Services, LLC

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1871867325

  CO

  Medicare reassignment NPD
• Paragon Outpatient Rehabilitation Services, LLC

  • Rehabilitation Clinic/Center
  • Roxboro, NC
  • NPI 1245014380
  NPD

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1144805391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 CARLSON DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193918",
            "telephone_number": "717-756-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 1/2 N TEJON ST STE 204",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031434",
            "telephone_number": "719-362-0660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12105 Ambassador Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809213642",
            "country_code": "US",
            "telephone_number": "719-481-9494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "SAMANTHA",
        "middle_name": "LUBOV",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0003701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "VIRBITSKY",
            "middle_name": "LUBOV",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alejandra Santiago Mendez
• Elvis Santiago
• Erika Santiago
• Haley Santiago
• Julissa Santiago
• Taryn Victoria Santiago, C-AA
• George Santini, MD
• Donna Lee Santistevan Kovac, MA, LMFT
• Jessalyn Santizo
• Hailey Santonastaso, LPC

• Speech-Language Pathologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.