Individual provider Active NPI

Samantha Ostrowsky

  • Physical Therapist
  • Hanover, MA
National Provider Identifier
1174000749
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23787 Issued in MA
Practice address
2053 Washington St
Hanover, MA 02339-1655
Phone
(781) 347-3107
NPI assigned
Jul 25, 2018
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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
Physical Therapist 225100000X 23787 MA Primary

Addresses

Primary practice location

2053 Washington St
Hanover, MA 02339-1655

Mailing address

2053 Washington St
Hanover, MA 02339-1655
Phone (781) 347-3107

Other practice location 1

385 Church St Ste 103
Guilford, CT 06437-6003
Phone (203) 453-2844

Other practice location 2

150 York St
Stoughton, MA 02072-1829
Phone (781) 344-0600

Other names 1

  • Samantha Bico Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250806003376 MA Practitioner - Physical Therapist in Private Practice 5496175853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliott Physical Therapy, IncGroup PAC ID 9830322585, 60 clinicians

Practice addresses (Care Compare)

2053 Washington St
Hanover, MA 02339-1655
Phone (781) 347-3107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elliott Physical Therapy, Inc. Physical Therapist CurrentSince Jun 30, 2025 Accepting new patients
Anb-Ptsma Holdings, Inc. Physical Therapist CurrentSince Oct 5, 2020 Accepting new patients

Locations

385 Church St
Guilford, CT 06437
Phone (203) 453-0361

385 Church St
Ste 103
Guilford, CT 06437
Phone (203) 453-2844

103 E Main St
Unit C
Plainville, CT 06062
Phone (860) 517-8885

47 N Main St
West Hartford, CT 06107
Phone (860) 409-4595

960 William T Morrissey Blvd
Dorchester, MA 02122
Phone (617) 506-7210

2053 Washington St
Hanover, MA 02339
Phone (781) 347-3107

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1174000749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 WASHINGTON ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391655",
            "telephone_number": "781-347-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 WASHINGTON ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391655",
            "telephone_number": "781-347-3107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "385 Church St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Guilford",
            "state": "CT",
            "postal_code": "064376003",
            "country_code": "US",
            "telephone_number": "203-453-2844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 York St",
            "address_purpose": "LOCATION",
            "city": "Stoughton",
            "state": "MA",
            "postal_code": "020721829",
            "country_code": "US",
            "telephone_number": "781-344-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSTROWSKY",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "BICO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hanover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.