Individual provider Active NPI

Samantha Gentile, DPT

  • Physical Therapist
  • Newtown Square, PA
National Provider Identifier
1215360219
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT023001 Issued in PA
Practice address
3809 W Chester Pike
Suite 150
Newtown Square, PA 19073-2331
Phone
(484) 356-9401
NPI assigned
Aug 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT023001 PA Primary

Addresses

Primary practice location

3809 W Chester Pike
Suite 150
Newtown Square, PA 19073-2331

Mailing address

809 Painters Xing
Chadds Ford, PA 19317-9629

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140904001260 PA Practitioner - Physical Therapist in Private Practice 5698993640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1161 McDermott Dr
Suite 250
West Chester, PA 19380-4064
Phone (484) 356-9401

2004 Sproul Rd
FL 1
Broomall, PA 19008-3511
Phone (610) 353-0800

400 McFarlan Rd
Suite 100
Kennett Square, PA 19348-2477
Phone (610) 925-4901

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Associates, LTD Physical Therapist CurrentSince Jun 27, 2014 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates LTD Physical Therapist CurrentSince Jun 27, 2014 Accepting new patients

Locations

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

3809 West Chester Pike
Ste 150
Newtown Square, PA 19073
Phone (484) 356-9401

1161 McDermott Dr
West Chester, PA 19380
Phone (484) 356-9401

Interoperability endpoints

  • Direct secure messaging: samantha.gentile.1@22724.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1215360219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 PAINTERS XING",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 W CHESTER PIKE",
            "address_2": "SUITE 150",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732331",
            "telephone_number": "484-356-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "SAMANTHA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.