Individual provider Active NPI

Samantha Rozic, P.T.

  • Physical Therapist
  • Pacific Palisades, CA
National Provider Identifier
1396862306
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25780 Issued in CA
Practice address
860 Via de la Paz Ste B1
Pacific Palisades, CA 90272-3681
Phone
(310) 573-9553
Fax
(310) 573-9533
NPI assigned
Mar 23, 2007
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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 25780 CA
Physical Therapist 225100000X PT25780 CA Primary

Addresses

Primary practice location

860 Via de la Paz Ste B1
Pacific Palisades, CA 90272-3681

Mailing address

860 Via de la Paz Ste B1
Pacific Palisades, CA 90272-3681
Phone (310) 573-9553

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL samantha@thecypresscenter.com Direct The Cypress Center, A Physical Therapy Corporation

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT25780CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Physical Therapy Center, Inc. Physical Therapist CurrentSince Sep 24, 2023 Accepting new patients

Locations

860 Via de la Paz
Ste B1
Pacific Palisades, CA 90272
Phone (310) 573-9553

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1396862306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 VIA DE LA PAZ STE B1",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723681",
            "telephone_number": "310-573-9553",
            "fax_number": "310-573-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 VIA DE LA PAZ STE B1",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723681",
            "telephone_number": "310-573-9553",
            "fax_number": "310-573-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZIC",
        "first_name": "SAMANTHA",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25780",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "samantha@thecypresscenter.com",
            "affiliation": "Y",
            "endpointDescription": "email address",
            "affiliationName": "The Cypress Center, A Physical Therapy Corporation",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "860 Via De La Paz Ste B1",
            "city": "Pacific Palisades",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902723681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pacific Palisades, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.