Active NPI
Samantha Marie Austin, DPT
- Physical Therapist
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501019431
- 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
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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
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)
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 100
- Quality
- 89.5
- Improvement activities
- 40
- Cost
- 71.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501019431 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Rehabilitation Specialists of Fowlerville, LLC | Current | Accepting new patients | |
| Michigan Rehabilitation Specialists of Fowlerville LLC | Physical Therapist | Current | Accepting new patients |
| Advent Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Advent Rehabilitation, LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Grand Rapids, MI
- NPI 1780639658
-
- Physical Therapist
- Fowlerville, MI
- NPI 1669531166
-
- Physical Therapist
- Grand Rapids, MI
- NPI 1437923729
-
- Durable Medical Equipment & Medical Supplies
- Dexter, MI
- NPI 1407525892
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.