Individual provider Active NPI

Samantha R Hoffmann, DPT

  • Orthopedic Physical Therapist
  • Quincy, MA
National Provider Identifier
1194952721
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
18677 Issued in MA
Practice address
21 Totman St
First Floor
Quincy, MA 02169-7564
Phone
(617) 770-4167
Fax
(617) 770-0971
NPI assigned
Jun 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 18677 MA Primary

Addresses

Primary practice location

21 Totman St
First Floor
Quincy, MA 02169-7564

Mailing address

21 Totman St
First Floor
Quincy, MA 02169-7564
Phone (617) 770-4167

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090915000027 MA Practitioner - Physical Therapist in Private Practice 7810043999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J.B. Rehabilitation Associates, IncGroup PAC ID 1153313598, 14 clinicians

Practice addresses (Care Compare)

104 Quarry St
FL 1
Quincy, MA 02169-4175
Phone (617) 770-4167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18677MAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
J.B. Rehabilitation Associates, Inc Orthopedic CurrentSince Jun 24, 2009 Accepting new patients
J B Rehabilitation Associates, Inc. Past Accepting new patients
JK Therapy Associates, LLC Past Accepting new patients

Locations

104 Quarry St
Fl 1
Quincy, MA 02169
Phone (617) 770-4167

104 Quarry St
Quincy, MA 02169
Phone (617) 770-4167

Organizations & group practices 3

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": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1194952721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TOTMAN ST",
            "address_2": "FIRST FLOOR",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021697564",
            "telephone_number": "617-770-4167",
            "fax_number": "617-770-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TOTMAN ST",
            "address_2": "FIRST FLOOR",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021697564",
            "telephone_number": "617-770-4167",
            "fax_number": "617-770-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMANN",
        "first_name": "SAMANTHA",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "18677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.