Individual provider Active NPI

Samantha D Chou, P.T.

  • Physical Therapist
  • Williamsburg, VA
National Provider Identifier
1467547349
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305203534 Issued in VA
Practice address
101 Bulifants Blvd # B
Williamsburg, VA 23188-5709
Phone
(757) 229-9740
Fax
(757) 229-9741
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2305203534 VA Primary

Addresses

Primary practice location

101 Bulifants Blvd # B
Williamsburg, VA 23188-5709

Mailing address

101 Bulifants Blvd # B
Williamsburg, VA 23188-5709
Phone (757) 229-9740

Other identifiers 1

IdentifierTypeStateIssuer
193577OtherVAANTHEM BCBS VA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305203534VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Physical Therapy Inc CurrentSince Apr 18, 2019 Accepting new patients
Fusion Chiropractic, LLC PastSince Dec 29, 2015 Accepting new patients
Comber Physical Therapy, LLC Physical Therapist PastSince Oct 20, 2003 Accepting new patients

Locations

2000 Bremo Rd
Ste 202
Richmond, VA 23226
Phone (804) 285-0148

Organizations & group practices 3

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467547349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BULIFANTS BLVD # B",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885709",
            "telephone_number": "757-229-9740",
            "fax_number": "757-229-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BULIFANTS BLVD # B",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885709",
            "telephone_number": "757-229-9740",
            "fax_number": "757-229-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOU",
        "first_name": "SAMANTHA",
        "middle_name": "D",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS VA",
            "identifier": "193577",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.