Individual provider Active NPI

Ronald T Samaniego, PHYSICAL THERAPIST

  • Physical Therapist
  • Spring Hill, FL
National Provider Identifier
1447451380
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5181 Mariner Blvd
Spring Hill, FL 34609-1834
Phone
(352) 686-4660
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X WI Primary
Physical Therapist 225100000X 070014146 IL
Physical Therapist 225100000X PT38241 FL

Addresses

Primary practice location

5181 Mariner Blvd
Spring Hill, FL 34609-1834

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

376 E Myers Blvd Ste A&b
Mascotte, FL 34753-9788
Phone (352) 432-8857

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL email

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130417000251 WI Practitioner - Physical Therapist in Private Practice 2860550332 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist Current Accepting new patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist CurrentSince Mar 4, 2025 Accepting new patients
Activelife Fitness LLC Zoo Health Club Physical Therapist CurrentSince Mar 9, 2022 Accepting new patients
Reinvent Health Inc Physical Therapist CurrentSince Nov 7, 2024 Accepting new patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist CurrentSince Mar 4, 2025 Accepting new patients
Spine Institute of Waukegan Past Accepting new patients
Spine & Joint Institute of Lake County PastSince Jul 19, 2012 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

7224 118th Ave
Ste E
Kenosha, WI 53142
Phone (262) 857-4400

S74W16867 Janesville Rd
Muskego, WI 53150
Phone (262) 971-4200

Organizations & group practices 8

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1447451380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5181 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346091834",
            "telephone_number": "352-686-4660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "376 E Myers Blvd Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Mascotte",
            "state": "FL",
            "postal_code": "347539788",
            "country_code": "US",
            "telephone_number": "352-432-8857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMANIEGO",
        "first_name": "RONALD",
        "middle_name": "T",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014146",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38241",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "email",
            "affiliation": "N",
            "address_1": "5181 Mariner Blvd",
            "city": "Spring Hill",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346091834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.