Samantha R. Vaisman, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT300766 Issued in CA

Practice address

9909 Mira Mesa Blvd Ste 120
San Diego, CA 92131-1060

Phone

(858) 693-0436

Fax

(858) 693-0437

NPI assigned

Sep 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Plus Physical Therapy, Inc.Group PAC ID 1850668773, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Performance Plus Physical Therapy, Inc.

  • Physical Therapist
  • Chula Vista, CA
  • NPI 1144766064
  Medicare reassignment Care Compare group NPD
• Barbara Jean Boutelle Carlsbad Physical Therapy

  • Physical Therapist
  • Carlsbad, CA
  • NPI 1669420980
  Medicare reassignment NPD
• Barbara Jean Boutelle Carlsbad Physical Therapy

  • Physical Therapist
  • Oceanside, CA
  • NPI 1255007050
  NPD
• Barbara Jean Boutelle Carlsbad Physical Therapy

  • Physical Therapist
  • San Diego, CA
  • NPI 1699723098
  NPD
• Barbara Jean Boutelle/Carlsbad Physical Therapy

  • Physical Therapist
  • San Marcos, CA
  • NPI 1013966357
  NPD (past)
• The Chiro Office

  • Chiropractor
  • Chula Vista, CA
  • NPI 1245566959
  NPD (past)

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1457022071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 MADISON ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082310",
            "telephone_number": "760-591-7750",
            "fax_number": "760-471-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9909 MIRA MESA BLVD STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311060",
            "telephone_number": "858-693-0436",
            "fax_number": "858-693-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAISMAN",
        "first_name": "SAMANTHA",
        "middle_name": "R.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT300766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamala Vaidya, M.D.
• Natalie Victoria Vail, L.AC., DIPL.O.M.
• Richard Millard Vail
• Savanna Vail, AAMFT
• Brian A Vaira, BEHAVIOR TECHNICIAN
• Leticia Vajda
• Vakas Sial MD Inc
• Bhoomika Vakharia, FNP
• Sarah Vakharia, M.ED., ED.S., LEP
• Arman Vakili

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.