Individual provider Active NPI

Samuel J Bikkers Jr., PT, DPT

  • Physical Therapist
  • Smithfield, VA
National Provider Identifier
1265941728
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305210655 Issued in VA
Practice address
319C Main St
Ste 110
Smithfield, VA 23430-1381
Phone
(757) 644-1063
Fax
(757) 644-4129
NPI assigned
Sep 27, 2017
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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 2305210655 VA Primary

Addresses

Primary practice location

319C Main St
Ste 110
Smithfield, VA 23430-1381

Mailing address

103 Beale Ave
Smithfield, VA 23430-1403
Phone (540) 598-3960

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200114003178 VA Practitioner - Physical Therapist in Private Practice 7315372604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smithfield Physical Therapy Specialists, LLCGroup PAC ID 7719361674, 2 clinicians

Practice addresses (Care Compare)

103 Beale Ave
Smithfield, VA 23430-1403
Phone (540) 598-3960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305210655VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Smithfield Physical Therapy Specialists, LLC Physical Therapist CurrentSince May 13, 2022 Accepting new patients

Locations

319 Main St
Ste 110
Smithfield, VA 23430
Phone (757) 644-1063

Organizations & group practices 1

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": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1265941728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BEALE AVE",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234301403",
            "telephone_number": "540-598-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319C MAIN ST",
            "address_2": "STE 110",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234301381",
            "telephone_number": "757-644-1063",
            "fax_number": "757-644-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIKKERS",
        "first_name": "SAMUEL",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.