Active NPI
Samantha Somers, PT, DPT
- Physical Therapist
- Pittsburgh, PA
National Provider Identifier
1174121115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT030451
- Practice address
- 5770 Baum Blvd Ste 100
Pittsburgh, PA 15206-3763 - Phone
- (412) 661-0400
- Fax
- (412) 661-1803
- NPI assigned
- Oct 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 046424 | NY | |
| Physical Therapist | 225100000X | PT030451 | PA | Primary |
Addresses
Primary practice location
5770 Baum Blvd Ste 100
Pittsburgh, PA 15206-3763
Mailing address
5770 Baum Blvd Ste 100
Pittsburgh, PA 15206-3763
Phone (412) 661-0400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046424 | Other | NY | THE UNIVERSITY OF THE STATE OF NEW YORK |
| PT030451 | Other | PA | PENNSYLVANIA DEPARTMENT OF STATE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2126 Great Neck SQ
Virginia Beach, VA 23454-2202
Phone (757) 714-6058
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046424 | NY | MD | Physical Therapist |
| PT030451 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Beach Physical Therapy & Wellness , PLLC | Physical Therapist | Current | Accepting new patients |
Locations
2126 Great Neck Sq
Virginia Beach, VA 23454
Phone (757) 578-2197
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.
-
- Physical Therapist
- Virginia Beach, VA
- NPI 1861854812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1174121115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5770 BAUM BLVD STE 100",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152063763",
"telephone_number": "412-661-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5770 BAUM BLVD STE 100",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152063763",
"telephone_number": "412-661-0400",
"fax_number": "412-661-1803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMERS",
"first_name": "SAMANTHA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-13",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "046424",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT030451",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE UNIVERSITY OF THE STATE OF NEW YORK",
"identifier": "046424",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA DEPARTMENT OF STATE",
"identifier": "PT030451",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.