Individual provider Active NPI

Samantha Pratt

  • Physical Therapist
  • Round Rock, TX
National Provider Identifier
1336849918
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1374442 Issued in TX
Practice address
896 Summit St Ste 101
Round Rock, TX 78664-4370
Phone
(512) 599-4262
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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 1374442 TX Primary

Addresses

Primary practice location

896 Summit St Ste 101
Round Rock, TX 78664-4370

Mailing address

1033 La Posada Dr Ste 230
Austin, TX 78752-3842

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230712000217 TX Practitioner - Physical Therapist in Private Practice 6608236492 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spero Rehabilitation, LLCGroup PAC ID 5890988216, 53 clinicians

Practice addresses (Care Compare)

6012 W William Cannon Dr
Suite C101
Austin, TX 78749-1999
Phone (512) 899-8508

Merit-based Incentive Payment System (MIPS)

Final score
74.64 of 100Reported as group
Quality
46.1
Promoting interoperability
92
Improvement activities
40
Cost
76.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1374442TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Rehabilitation LLC Physical Therapist CurrentSince Dec 30, 2024 Accepting new patients
Endeavor Rehab Center Inc Physical Therapist CurrentSince May 31, 2023 Accepting new patients
Endeavor Rehab Center Inc Physical Therapist CurrentSince May 31, 2023 Accepting new patients
Lynn Jackson, PT, PC Physical Therapist PastSince Dec 30, 2024 Accepting new patients

Locations

3202 W Anderson Ln
Ste 202
Austin, TX 78757
Phone (512) 351-3263

1033 La Posada Dr
Ste 230
Austin, TX 78752
Phone (512) 284-7192

6911 Ranch Road 620 N
Austin, TX 78732
Phone (512) 219-8533

6012 W William Cannon Dr
Ste C101
Austin, TX 78749
Phone (512) 582-8134

5632 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 259-0600

23225 Kingsland Blvd
Ste 600
Katy, TX 77494
Phone (281) 395-9090

896 Summit St
Round Rock, TX 78664
Phone (512) 599-4262

896 Summit St
Ste 101
Round Rock, TX 78664
Phone (512) 599-4262

Organizations & group practices 4

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": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1336849918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 LA POSADA DR STE 230",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 SUMMIT ST STE 101",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644370",
            "telephone_number": "512-599-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1374442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.