Active NPI
Samantha Breann Jones
- Physical Therapist
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1312 W Arch Haven Ave Ste E
Bloomington, IN 47403-2088 - Phone
- (812) 336-8406
- NPI assigned
- Nov 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 297656 | CA | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1312 W Arch Haven Ave Ste E
Bloomington, IN 47403-2088
Mailing address
2001 Butterfield Rd Ste 1600
Ste 1600
Downers Grove, IL 60515-1211
Phone (630) 296-2222
Other practice location 1
1640 Marengo St Ste 102
Los Angeles, CA 90033-1061
Phone (323) 865-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1312 W Arch Haven Ave
BLDG 1320 Suite E
Bloomington, IN 47403-2088
Phone (812) 336-8406
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
1312 W Arch Haven Ave
Ste E
Bloomington, IN 47403
Phone (812) 336-8406
5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579
Organizations & group practices 2
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.
-
- Physical Therapist
- Indianapolis, IN
- NPI 1316940505
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1700595089
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1447895511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"address_2": "STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211",
"telephone_number": "630-296-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 W ARCH HAVEN AVE STE E",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032088",
"telephone_number": "812-336-8406"
}
],
"practiceLocations": [
{
"address_1": "1640 Marengo St Ste 102",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900331061",
"country_code": "US",
"telephone_number": "323-865-1200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "SAMANTHA",
"middle_name": "BREANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-13",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "297656",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.