Samuel William Baxter, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19886 Issued in CO

Practice address

6160 Tutt Blvd Ste 240
Colorado Springs, CO 80923-3502

Phone

(719) 596-0880

Fax

(719) 596-0899

NPI assigned

Jun 14, 2024

Last updated

Jun 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Action Potential RLLPGroup PAC ID 7719976703, 20 clinicians

Panorama Orthopedics and Spine Center PCGroup PAC ID 8426961087, 316 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Panorama Orthopedics and Spine Center PC

  • Orthopaedic Surgery Physician
  • Golden, CO
  • NPI 1295787950
  Medicare reassignment Care Compare group NPD
• Action Potential RLLP

  dba Action Potential

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1699939850
  Medicare reassignment Care Compare group
• Action Potential RLLP

  • Multi-Specialty Clinic/Center
  • Colorado Springs, CO
  • NPI 1265274948

  Physical Therapist

  NPD
• Panorama Orthopedics & Spine Center, PC

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1194390518
  NPD

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1215770672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 TUTT BLVD STE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233502",
            "telephone_number": "719-596-0880",
            "fax_number": "719-596-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 TUTT BLVD STE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233502",
            "telephone_number": "719-596-0880",
            "fax_number": "719-596-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "SAMUEL",
        "middle_name": "WILLIAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "19886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precious Bautista-Alexander
• Jennifer Lynn Bautista
• Raquel Bautista
• Charlene Baxley, LMT
• Montie J Baxley, RN
• Sarah Baxter, RN
• Bay of Hope Counseling, LLC
• Bayada Home Health Care, Inc.
• Bayada Home Health Care, Inc.
• Cole Bayer

• Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.