Individual provider Active NPI

Samantha Erin Kaszubski, DPT

  • Physical Therapist
  • Palm Beach Gardens, FL
National Provider Identifier
1255941092
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36077 Issued in FL
Practice address
4215 Burns Rd Ste 100
Palm Beach Gardens, FL 33410-4627
Phone
(561) 694-7776
NPI assigned
Aug 6, 2020
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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 PT36077 FL Primary

Addresses

Primary practice location

4215 Burns Rd Ste 100
Palm Beach Gardens, FL 33410-4627

Mailing address

4215 Burns Rd Ste 200
Palm Beach Gardens, FL 33410-4625
Phone (561) 694-7776

Other practice location 1

7701 Southern Blvd Ste 100
West Palm Beach, FL 33411-3803
Phone (561) 694-7779

Other practice location 2

2055 Military Trl Ste 200
Jupiter, FL 33458-7830
Phone (561) 694-7777

Other practice location 3

1411 N Flagler Dr Ste 9800
West Palm Beach, FL 33401-3423
Phone (561) 694-7778

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210128000762 FL Practitioner - Physical Therapist in Private Practice 2567876881 Reassigns benefits to 2 organizations

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
Bolduc Physical Therapy IncGroup PAC ID 2163329343, 5 clinicians

Practice addresses (Care Compare)

11135 S Jog Rd
Suite 1
Boynton Beach, FL 33437-1817
Phone (561) 752-3820

4215 Burns Rd
Suite 100
Palm Beach Gardens, FL 33410-4627
Phone (561) 694-7776

Merit-based Incentive Payment System (MIPS)

Final score
91.18 of 100Reported as individual
Quality
80
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT36077FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bolduc Physical Therapy Inc Physical Therapist CurrentSince Jan 26, 2021 Accepting new patients
Palm Beach Orthopaedic Institute PA CurrentSince Sep 6, 2025 Accepting new patients
Palm Beach Orthopaedic Institute PA CurrentSince Sep 6, 2025 Accepting new patients

Locations

11135 S Jog Rd
Ste 1
Boynton Beach, FL 33437
Phone (561) 752-3820

5450 W Hillsboro Blvd
Ste 9
Coconut Creek, FL 33073
Phone (954) 725-9125

2055 Military Trl
Ste 200
Jupiter, FL 33458
Phone (561) 727-1339

4215 Burns Rd
Ste 100
Palm Beach Gardens, FL 33410
Phone (561) 727-1175

4215 Burns Rd
Ste 200
Palm Beach Gardens, FL 33410

1411 N Flagler Dr
Ste 9800
West Palm Beach, FL 33401
Phone (561) 694-7778

7701 Southern Blvd
Ste 100
West Palm Beach, FL 33411
Phone (561) 694-7779

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13081/brand/1/csg/1/fhir/r4
  • Direct secure messaging: samantha.kaszbuski.1@13081.direct.athenahealth.com

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

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1255941092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 BURNS RD STE 200",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104625",
            "telephone_number": "561-694-7776",
            "fax_number": "561-694-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 BURNS RD STE 100",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104627",
            "telephone_number": "561-694-7776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7701 Southern Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334113803",
            "country_code": "US",
            "telephone_number": "561-694-7779",
            "fax_number": "561-694-3102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2055 Military Trl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334587830",
            "country_code": "US",
            "telephone_number": "561-694-7777",
            "fax_number": "561-694-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 N Flagler Dr Ste 9800",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334013423",
            "country_code": "US",
            "telephone_number": "561-694-7778",
            "fax_number": "561-694-3101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASZUBSKI",
        "first_name": "SAMANTHA",
        "middle_name": "ERIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.