Individual provider Active NPI

Samantha Tomlin, PT, DPT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1538675152
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1367256 Issued in TX
Practice address
11777 FM 1960 Rd W
Houston, TX 77065-3513
Phone
(281) 469-4688
NPI assigned
Dec 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2131084 TX
Physical Therapist 225100000X 1367256 TX Primary

Addresses

Primary practice location

11777 FM 1960 Rd W
Houston, TX 77065-3513

Mailing address

11777 FM 1960 Rd W
Houston, TX 77065-3513
Phone (281) 469-4688

Other identifiers 2

IdentifierTypeStateIssuer
2131084OtherTXTEXAS ECPTOTE LICENSE
1367256OtherTXTEXAS ECPTOTE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250527003030 TX Practitioner - Physical Therapist in Private Practice 6002335650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1367256TXMDPhysical Therapist
2131084TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Therapeutics Physical Therapist PastSince Apr 8, 2002 Accepting new patients
Southeast Texas Hematology and Oncology Center, PA Past Accepting new patients

Organizations & group practices 2

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": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1538675152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11777 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653513",
            "telephone_number": "281-469-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11777 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653513",
            "telephone_number": "281-469-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMLIN",
        "first_name": "SAMANTHA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2131084",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1367256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS ECPTOTE LICENSE",
            "identifier": "2131084",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS ECPTOTE LICENSE",
            "identifier": "1367256",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.