Individual provider Active NPI

Samantha Dolch, DPT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1366003642
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2900 S Hanover St Ste 102
Baltimore, MD 21225-1232
Phone
(410) 350-8372
NPI assigned
Jun 26, 2019
Last updated
Nov 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2900 S Hanover St Ste 102
Baltimore, MD 21225-1232

Mailing address

1519 William St
Baltimore, MD 21230-4612
Phone (443) 926-1005

Other practice location 1

5840 Banneker Rd Ste 230
Columbia, MD 21044-3116
Phone (410) 884-0003

Other names 1

  • Samantha Roskam Former name

Electronic endpoints 4

TypeEndpointUseAffiliation
Other URL samantha@ibeatrehab.com
Other URL samantha@ibeatrehab.com
Other URL samantha@ibeatrehab.com
Other URL samantha@ibeatrehab.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221109000090 DC Practitioner - Physical Therapist in Private Practice 1658748371 Reassigns benefits to 1 organization
I20231111000391 MD Practitioner - Physical Therapist in Private Practice 1658748371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Rehab 2 Perform LLCGroup PAC ID 6002199064, 92 clinicians

Practice addresses (Care Compare)

983 Waugh Chapel Way
Suite Ab
Gambrills, MD 21054-1261
Phone (301) 798-4838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 7, 2022 Accepting new patients
Rehab 2 Perform LLC Physical Therapist CurrentSince Aug 21, 2023 Accepting new patients
Rehab 2 Perform LLC Physical Therapist CurrentSince Aug 21, 2023 Accepting new patients
Beat Rehabilitation and Wellness, LLC Physical Therapist PastSince Jan 2, 2015 Accepting new patients

Locations

1750 Forest Dr
Ste 145
Annapolis, MD 21401
Phone (301) 381-0738

5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 223-3077

1341 Hughes Ford Rd
Ste 104
Frederick, MD 21701
Phone (301) 450-8038

983 Waugh Chapel Way
Ste A
Gambrills, MD 21054

983 Waugh Chapel Way
Ste Ab
Gambrills, MD 21054
Phone (301) 603-3008

20501 Seneca Meadows Pkwy
Ste 100
Germantown, MD 20876
Phone (240) 608-0986

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": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1366003642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 WILLIAM ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304612",
            "telephone_number": "443-926-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S HANOVER ST STE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251232",
            "telephone_number": "410-350-8372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5840 Banneker Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210443116",
            "country_code": "US",
            "telephone_number": "410-884-0003",
            "fax_number": "410-884-0002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLCH",
        "first_name": "SAMANTHA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "samantha@ibeatrehab.com",
            "affiliation": "N",
            "address_1": "5840 Banneker Rd",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "samantha@ibeatrehab.com",
            "affiliation": "N",
            "address_1": "5840 Banneker Rd",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "samantha@ibeatrehab.com",
            "affiliation": "N",
            "address_1": "5840 Banneker Rd",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "samantha@ibeatrehab.com",
            "affiliation": "N",
            "address_1": "5840 Banneker Rd Ste 230",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "ROSKAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.