Active NPI
Samantha Benjamin-Allen, DO/M.B.A.
- Physical Medicine & Rehabilitation Physician
- Fort Washington, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- FB6755992
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | P30072 | MD | |
| Physical Medicine & Rehabilitation Physician | 208100000X | H0090526 | MD | |
| Physical Medicine & Rehabilitation Physician | 208100000X | DO034956 | DC | |
| Physical Medicine & Rehabilitation Physician | 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO034956 | DC | MD | Physical Medicine & Rehabilitation Physician |
| P30072 | MD | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Vernon Rehabilitation Medicine Associates | Single Specialty | Current | Accepting new patients |
| Freedom Wellness Physiatry LLC | Single Specialty | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Single Specialty | Current | Accepting new patients |
| Signify Health, LLC | Single Specialty | Current | 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.
-
- Home Health Agency
- Fort Washington, MD
- NPI 1114730124
DC, Single Specialty
-
- Physical Medicine & Rehabilitation Physician
- Alexandria, VA
- NPI 1023063112
DC, Single Specialty
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
MD, Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.