Individual provider Active NPI

Samantha Orth, DPT

  • Physical Therapist
  • Lake Elmo, MN
National Provider Identifier
1346089661
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0020760 Issued in CO
Practice address
1161 Manning Ave N
Lake Elmo, MN 55042-9607
Phone
(763) 237-4229
NPI assigned
May 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 30746 MD
Physical Therapist 225100000X PTL.0020760 CO Primary

Addresses

Primary practice location

1161 Manning Ave N
Lake Elmo, MN 55042-9607

Mailing address

4350 Wadsworth Blvd Ste 200
Wheat Ridge, CO 80033-4634
Phone (763) 237-4229

Other practice location 1

4511 Knox Rd Ste 102
College Park, MD 20740-3380
Phone (301) 277-6616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, MD, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250521001954 AK Practitioner - Physical Therapist in Private Practice 5799229779 Reassigns benefits to 1 organization
I20260216000852 MD Practitioner - Physical Therapist in Private Practice 5799229779 Reassigns benefits to 1 organization
I20260216000973 DC Practitioner - Physical Therapist in Private Practice 5799229779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Sportscare and Rehab LLCGroup PAC ID 9335137363, 103 clinicians
Orthoalaska LLCGroup PAC ID 2961705520, 167 clinicians

Practice addresses (Care Compare)

1600 Wilson Blvd
Suite 102
Arlington, VA 22209-2505
Phone (703) 935-1996

2250 E 42ND Ave
Suite 200
Anchorage, AK 99508-5202
Phone (907) 569-3668

4511 Knox Rd
Suite 102
College Park, MD 20740-3380
Phone (301) 277-6616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0020760COMDPhysical Therapist
30746MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Feb 2, 2026 Accepting new patients
Orthoalaska LLC CurrentSince May 12, 2025 Accepting new patients
Orthoalaska, LLC Physical Therapist Current Accepting new patients
Anchorage Surgicenter, LLC CurrentSince May 12, 2025 Accepting new patients
Orthoalaska LLC PastSince Jan 21, 2024 Accepting new patients

Locations

3890 University Lake Dr
Ste 110
Anchorage, AK 99508
Phone (907) 249-5542

3801 Lake Otis Pkwy
Ste 300
Anchorage, AK 99508
Phone (907) 341-5238

2250 E 42nd Ave
#200
Anchorage, AK 99508
Phone (907) 569-3668

13015 Old Glenn Hwy
Ste 100
Eagle River, AK 99577

3125 E Meridian Park Loop
Ste 300
Wasilla, AK 99654
Phone (907) 357-2267

4511 Knox Rd
Ste 102
College Park, MD 20740
Phone (301) 277-6616

2987 Plaza Dr
Dunkirk, MD 20754
Phone (443) 964-6348

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

Interoperability endpoints

  • Direct secure messaging: samantha.orth.p1@direct.opaak.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1346089661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 WADSWORTH BLVD STE 200",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334634",
            "telephone_number": "763-237-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 MANNING AVE N",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550429607",
            "telephone_number": "763-237-4229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4511 Knox Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "College Park",
            "state": "MD",
            "postal_code": "207403380",
            "country_code": "US",
            "telephone_number": "301-277-6616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTH",
        "first_name": "SAMANTHA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-24",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30746",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0020760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elmo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.