Active NPI
Samantha Elise Spiller, PT
- Physical Therapist
- Falls Church, VA
National Provider Identifier
1265959472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305214166
- Practice address
- 510 S Washington St
Ste a
Falls Church, VA 22046 - Phone
- (703) 992-7255
- Fax
- (703) 992-7213
- NPI assigned
- Aug 28, 2017
- Last updated
- Aug 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9048 | SC | |
| Physical Therapist | 225100000X | 2305214166 | VA | Primary |
Addresses
Primary practice location
510 S Washington St
Ste a
Falls Church, VA 22046
Mailing address
350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714
Other practice location 1
915 Folly Rd Ste J
Charleston, SC 29412-3907
Phone (843) 203-6955
Other practice location 2
3032 W Montague Ave Ste 101
North Charleston, SC 29418
Phone (843) 885-8772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.48 of 100
- Quality
- 86.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 76.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305214166 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Sportscare & Rehab, LLC | Physical Therapist | Past | Accepting new patients |
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.
-
dba Pivot Physical Therapy
- Physical Therapist
- Woodbridge, VA
- NPI 1548714959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1265959472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 NEW FIDELITY CT",
"city": "GARNER",
"state": "NC",
"postal_code": "275292665",
"telephone_number": "919-258-2714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 S WASHINGTON ST",
"address_2": "STE A",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "22046",
"telephone_number": "703-992-7255",
"fax_number": "703-992-7213"
}
],
"practiceLocations": [
{
"address_1": "915 Folly Rd Ste J",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294123907",
"country_code": "US",
"telephone_number": "843-203-6955",
"fax_number": "843-805-4908",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3032 W Montague Ave Ste 101",
"address_purpose": "LOCATION",
"city": "North Charleston",
"state": "SC",
"postal_code": "29418",
"country_code": "US",
"telephone_number": "843-885-8772",
"fax_number": "843-885-8773",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPILLER",
"first_name": "SAMANTHA",
"middle_name": "ELISE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-28",
"last_updated": "2021-08-03",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "9048",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305214166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.