Active NPI
Samuel Walter Allison
- Physical Therapist
- Nottingham, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29469
- Practice address
- 7629 Belair Rd
Nottingham, MD 21236-4003 - Phone
- (410) 870-2104
- Fax
- (410) 870-6896
- NPI assigned
- Apr 5, 2023
- Last updated
- Nov 19, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 29469 | MD | Primary |
Addresses
Primary practice location
7629 Belair Rd
Nottingham, MD 21236-4003
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Other practice location 1
7711 Quarterfield Rd Ste C2
Glen Burnie, MD 21061-4591
Phone (410) 487-6447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Pittsburgh School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7629 Belair Rd
Nottingham, MD 21236-4003
Phone (410) 870-2104
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29469 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Glen Burnie Physical Therapy & Sportscare, LLC | Physical Therapist | Current | Accepting new patients |
| Maryland Sportscare & Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Glen Burnie Physical Therapy & Sportscare, LLC | Physical Therapist | Current | Accepting new patients |
| Maryland Sportscare & Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619
141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478
7711 Quarterfield Rd
Ste C2
Glen Burnie, MD 21061
Phone (410) 487-6447
14700 Baltimore Ave
Unit 106
Laurel, MD 20707
Phone (240) 754-2203
7629 Belair Rd
Nottingham, MD 21236
Phone (410) 870-2104
3708 Mountain Rd
Ste D
Pasadena, MD 21122
Phone (410) 255-4833
25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300
52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100
7 W Ridgely Rd
Ste A
Timonium, MD 21093
Phone (443) 274-5368
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
Organizations & group practices 6
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.
-
dba Pivot Physical Therapy of Maryland
- Physical Therapist
- Westminster, MD
- NPI 1518951995
-
dba ATI Physical Therapy
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
Physical Therapist
-
dba Pivot Physical Therapy of Greater Baltimore
- Physical Therapist
- Columbia, MD
- NPI 1679630073
DC
-
dba Pivot Physical Therapy of Greater Baltimore
- Physical Therapist
- Columbia, MD
- NPI 1417319211
-
dba Pivot Physical Therapy of Maryland
- Physical Therapist
- Westminster, MD
- NPI 1720445174
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1457046591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7629 BELAIR RD",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212364003",
"telephone_number": "410-870-2104",
"fax_number": "410-870-6896"
}
],
"practiceLocations": [
{
"address_1": "7711 Quarterfield Rd Ste C2",
"address_purpose": "LOCATION",
"city": "Glen Burnie",
"state": "MD",
"postal_code": "210614591",
"country_code": "US",
"telephone_number": "410-487-6447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLISON",
"first_name": "SAMUEL",
"middle_name": "WALTER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-05",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "29469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nottingham, MD
- Akeso Orafacial Maxillary Surgery (Nottingham Oral Surgery)
- Sylvianne Akum
- Michael Arends Alksnis, LMSW
- Ania Allen
- Margot Allen, LCSW-C
- Alyssa Alspach
- Onosereme Fidelia Amadi-Emina, BSN, RN, CM/DN
- Charles Amadi
- Amani Enterprises Incorporated (Medlinkhealth Anesthesia Associates)
- Amazing Grace Home Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.