Individual provider Active NPI

Samantha Benjamin-Allen, DO/M.B.A.

  • Physical Medicine & Rehabilitation Physician
  • Fort Washington, MD
National Provider Identifier
1548673171
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
FB6755992 Issued in VA
Practice address
1603 Saratoga CT
Ft Washington, MD 20744-4186
Phone
(240) 339-5377
NPI assigned
Jun 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X P30072 MD
Physical Medicine & Rehabilitation Physician 208100000X H0090526 MD
Physical Medicine & Rehabilitation Physician 208100000X DO034956 DC
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X FB6755992 VA Primary

Addresses

Primary practice location

1603 Saratoga CT
Ft Washington, MD 20744-4186

Mailing address

1603 Saratoga CT
Ft Washington, MD 20744-4186
Phone (240) 339-5377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170918001649 DC Practitioner - Physical Medicine and Rehabilitation 0749406866 Reassigns benefits to 2 organizations
I20231021000775 VA Practitioner - Physical Medicine and Rehabilitation 0749406866 Reassigns benefits to 1 organization
I20250220000866 MD Practitioner - Physical Medicine and Rehabilitation 0749406866 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Business Administration

State licenses

LicenseStateTypeSpecialty
DO034956DCMDPhysical Medicine & Rehabilitation Physician
P30072MDMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Vernon Rehabilitation Medicine Associates Single Specialty CurrentSince Aug 21, 2017 Accepting new patients
Freedom Wellness Physiatry LLC Single Specialty CurrentSince Jul 2, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Single Specialty CurrentSince Feb 1, 2025 Accepting new patients
Signify Health, LLC Single Specialty CurrentSince Aug 7, 2023 Accepting new patients

Locations

2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

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": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1548673171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 SARATOGA CT",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207444186",
            "telephone_number": "240-339-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 SARATOGA CT",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207444186",
            "telephone_number": "240-339-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN-ALLEN",
        "first_name": "SAMANTHA",
        "credential": "DO/M.B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "P30072",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "H0090526",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "DC",
            "license": "DO034956",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "FB6755992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

Verify at the official NPI Registry.