Individual provider Active NPI

Samantha Somers, PT, DPT

  • Physical Therapist
  • Pittsburgh, PA
National Provider Identifier
1174121115
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT030451 Issued in PA
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

Updated by the provider on Feb 21, 2023

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 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

IdentifierTypeStateIssuer
046424OtherNYTHE UNIVERSITY OF THE STATE OF NEW YORK
PT030451OtherPAPENNSYLVANIA DEPARTMENT OF STATE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240717004720 VA Practitioner - Physical Therapist in Private Practice 2961815659 Reassigns benefits to 1 organization

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
Virginia Beach Physical Therapy and Wellness , PLLCGroup PAC ID 0840584439, 4 clinicians

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

LicenseStateTypeSpecialty
046424NYMDPhysical Therapist
PT030451PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Beach Physical Therapy & Wellness , PLLC Physical Therapist CurrentSince Jul 1, 2024 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.

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.

Verify at the official NPI Registry.