Individual provider Active NPI

Samantha Marie Austin, DPT

  • Physical Therapist
  • Grand Rapids, MI
National Provider Identifier
1467090225
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019431 Issued in MI
Practice address
6101 Kalamazoo Ave SE Ste B
Grand Rapids, MI 49508-7886
Phone
(616) 483-3478
Fax
(866) 306-6047
NPI assigned
Dec 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501019431 MI Primary

Addresses

Primary practice location

6101 Kalamazoo Ave SE Ste B
Grand Rapids, MI 49508-7886

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other names 1

  • Samantha Altimari Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191227000311 MI Practitioner - Physical Therapist in Private Practice 8729412762 Reassigns benefits to 2 organizations

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
Advent Rehabilitation, LLCGroup PAC ID 9537070545, 57 clinicians

Practice addresses (Care Compare)

6101 Kalamazoo Ave SE
Suite B
Grand Rapids, MI 49508-7886
Phone (616) 483-3478

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
89.5
Improvement activities
40
Cost
71.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501019431MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Dec 10, 2019 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Dec 10, 2019 Accepting new patients
Advent Rehabilitation, LLC Physical Therapist CurrentSince Dec 16, 2024 Accepting new patients
Advent Rehabilitation, LLC Physical Therapist CurrentSince Dec 16, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

6745 Fulton St E
Ste D
Ada, MI 49301
Phone (616) 274-1014

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

2373 64th St SW
Ste 2100
Byron Center, MI 49315
Phone (616) 235-3970

10047 Crossroad Ct SE
Ste 150
Caledonia, MI 49316
Phone (616) 233-3597

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

6101 Kalamazoo Ave SE
Ste B
Grand Rapids, MI 49508
Phone (616) 483-3478

1761 W M 43 Hwy
Hastings, MI 49058
Phone (269) 945-3888

15201 N Holly Rd
Ste B
Holly, MI 48442
Phone (248) 531-0002

2080 44th St SE
Ste 150
Kentwood, MI 49508
Phone (616) 233-3590

1697 E M 21
Owosso, MI 48867
Phone (989) 723-8781

5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1467090225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 KALAMAZOO AVE SE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087886",
            "telephone_number": "616-483-3478",
            "fax_number": "866-306-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "ALTIMARI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.