Miranda Whitley Samson

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PTL.0016778 Issued in CO

Practice address

1325 Dry Creek Dr Ste 204
Longmont, CO 80503-7748

Phone

(303) 938-1141

NPI assigned

Jan 2, 2020

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Colorado School of Medicine, Aurora, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy of BoulderGroup PAC ID 6002882339, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Physical Therapy of Boulder

  • Physical Therapist
  • Boulder, CO
  • NPI 1215056023
  Medicare reassignment Care Compare group NPD
• Coal Creek Physical Therapy, LLC

  • Physical Therapist
  • Louisville, CO
  • NPI 1740238120
  Medicare reassignment NPD
• Coal Creek Diagnostics, LLC

  • Diagnostic Ultrasound Physician
  • Louisville, CO
  • NPI 1366941171
  NPD (past)

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1205475670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 DRY CREEK DR STE 204",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037748",
            "telephone_number": "303-938-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 DRY CREEK DR STE 204",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037748",
            "telephone_number": "303-938-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "MIRANDA",
        "middle_name": "WHITLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "PTL.0016778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO PHYSICAL THERAPY LICENSE",
            "identifier": "PTL.0016778",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James W Sampson, NP
• Karissa Anne Sampson, PA
• Stephen Paul Sampson, DMD
• Sams West Inc
• Karis Samson, LMT
• Melanie Sanchez, LPC
• Caleb Sanderson
• Juliana Josephine Sandoval
• Cody Wayne Sanford, D.D.S.
• Marsha Lee Sano, M.S., CCC-A

• Physical Medicine & Rehabilitation Physician in Longmont, CO
• Providers in Longmont, CO by specialty
• Physical Medicine & Rehabilitation Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.