Individual provider Active NPI

Samantha Weaver

  • Physical Therapist
  • Upper Darby, PA
National Provider Identifier
1326857608
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0014999 Issued in DE
Practice address
7720 W Chester Pike
Upper Darby, PA 19082-1913
Phone
(610) 924-6100
NPI assigned
Jan 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 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 J1-0014999 DE Primary

Addresses

Primary practice location

7720 W Chester Pike
Upper Darby, PA 19082-1913

Mailing address

7720 W Chester Pike
Upper Darby, PA 19082-1913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250331000013 DE Practitioner - Physical Therapist in Private Practice 3274056361 Reassigns benefits to 1 organization
I20250407003376 PA Practitioner - Physical Therapist in Private Practice 3274056361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

7720 W Chester Pike
Upper Darby, PA 19082-1913
Phone (610) 924-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0014999DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Delaware LLC Physical Therapist CurrentSince Jan 5, 2025 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Mar 25, 2025 Accepting new patients

Locations

907 S Chapel St
Unit 180
Newark, DE 19713
Phone (302) 408-7310

3604 Lancaster Pike
Wilmington, DE 19805
Phone (302) 691-9993

7720 W Chester Pike
Ste 2
Upper Darby, PA 19082
Phone (610) 924-6100

7720 W Chester Pike
Upper Darby, PA 19082
Phone (610) 924-6100

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": "1735776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1326857608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 W CHESTER PIKE",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190821913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 W CHESTER PIKE",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190821913",
            "telephone_number": "610-924-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.