Individual provider Active NPI

Samantha Belen

  • Physical Therapist
  • Gig Harbor, WA
National Provider Identifier
1518599489
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61684154 Issued in WA
Practice address
4411 Point Fosdick Dr Ste 101
Gig Harbor, WA 98335-1703
Phone
(253) 851-7472
NPI assigned
Feb 10, 2020
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01907300 NJ
Physical Therapist 225100000X 007918 KY
Physical Therapist 225100000X CP024637T VA
Physical Therapist 225100000X PT61684154 WA Primary

Addresses

Primary practice location

4411 Point Fosdick Dr Ste 101
Gig Harbor, WA 98335-1703

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

266 Mission Rd
Hackettstown, NJ 07840-5637
Phone (201) 245-8640

Other practice location 2

80 Mill St Ste 1
Newton, NJ 07860-1411
Phone (973) 940-7311

Other practice location 3

200 N Glebe Rd Ste Gr2
Arlington, VA 22203-3755
Phone (703) 527-1700

Other practice location 4

6400 Arlington Blvd Ste 900
Falls Church, VA 22042-2336
Phone (804) 597-8690

Other practice location 5

1227 Rockbridge Rd Ste 212
Stone Mountain, GA 30087-3040
Phone (770) 925-9210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200821002717 NJ Practitioner - Physical Therapist in Private Practice 6305262262 Reassigns benefits to 1 organization
I20240305002598 GA Practitioner - Physical Therapist in Private Practice 6305262262 Reassigns benefits to 3 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
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

178 E Hanover Ave
Suite 105
Cedar Knolls, NJ 07927-2038
Phone (973) 200-3740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007918KYMDPharmacist
40QA01907300NJMDPhysical Therapist
CP024637TVAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Feb 5, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients
Benchmark Physical Therapy Inc Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients
Ivyrehab Network Inc Physical Therapist CurrentSince Nov 15, 2025 Accepting new patients
Monterey Spine & Joint PC CurrentSince Oct 21, 2024 Accepting new patients
Monterey Spine & Joint PC CurrentSince Oct 21, 2024 Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Jan 30, 2024 Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist CurrentSince Apr 15, 2025 Accepting new patients
Peak Sports & Spine Physical Therapy-Klahanie PS Past Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist PastSince Apr 15, 2025 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist PastSince Nov 1, 2023 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist Past Accepting new patients
Montage Surgical Group Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

12 Upper Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6060

21 Lower Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6040

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

7201 Turner Lake Rd NW
Ste 13
Covington, GA 30014
Phone (470) 444-1609

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

1227 Rockbridge Rd
Ste 212
Stone Mountain, GA 30087
Phone (770) 925-9210

1227 Rockbridge Rd
Ste 402
Stone Mtn, GA 30087
Phone (770) 925-9210

178 E Hanover Ave
Ste 105
Cedar Knolls, NJ 07927
Phone (215) 450-4239

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

80 Mill St
#1
Newton, NJ 07860
Phone (973) 940-7311

503 Route 202
Unit C
Raritan, NJ 08869
Phone (908) 800-7870

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

200 N Glebe Rd
Ste GR2
Arlington, VA 22203
Phone (703) 243-1300

4411 Point Fosdick Dr
Ste 101
Gig Harbor, WA 98335
Phone (253) 851-7472

4550 Klahanie Dr SE
Sammamish, WA 98029
Phone (425) 391-2427

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: samantha.belen.p1@direct.msjhealth.nextgenshare.com

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1518599489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 POINT FOSDICK DR STE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351703",
            "telephone_number": "253-851-7472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "266 Mission Rd",
            "address_purpose": "LOCATION",
            "city": "Hackettstown",
            "state": "NJ",
            "postal_code": "078405637",
            "country_code": "US",
            "telephone_number": "201-245-8640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Mill St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "NJ",
            "postal_code": "078601411",
            "country_code": "US",
            "telephone_number": "973-940-7311",
            "fax_number": "973-940-7342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N Glebe Rd Ste Gr2",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222033755",
            "country_code": "US",
            "telephone_number": "703-527-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6400 Arlington Blvd Ste 900",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220422336",
            "country_code": "US",
            "telephone_number": "804-597-8690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1227 Rockbridge Rd Ste 212",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300873040",
            "country_code": "US",
            "telephone_number": "770-925-9210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELEN",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01907300",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007918",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP024637T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61684154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.