Individual provider Active NPI

Samantha Hickey

  • Physical Therapy Clinic/Center
  • Richardson, TX
National Provider Identifier
1558018580
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1356969 Issued in TX
Practice address
3030 Waterview Pkwy FL 1
Richardson, TX 75080-1400
Phone
(972) 669-7181
NPI assigned
Mar 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 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 Clinic/Center 261QP2000X 1356969 TX Primary
Physical Therapist 225100000X 1356969 TX

Addresses

Primary practice location

3030 Waterview Pkwy FL 1
Richardson, TX 75080-1400

Mailing address

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (469) 426-7410

Other practice location 1

6235 S Main St Ste C-101
Aurora, CO 80016-5373
Phone (303) 344-9090

Other practice location 2

1248 S Broadway
Denver, CO 80210-1504
Phone (720) 699-9095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220804000680 TX Practitioner - Physical Therapist in Private Practice 8123400389 Reassigns benefits to 1 organization
I20241021001851 CO Practitioner - Physical Therapist in Private Practice 8123400389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6235 S Main St
Suite 101
Aurora, CO 80016-5373
Phone (303) 344-9090

Merit-based Incentive Payment System (MIPS)

Final score
43.24 of 100Reported as group
Quality
73.53
Promoting interoperability
0
Improvement activities
0
Cost
70.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1356969TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Apr 16, 2022 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Apr 16, 2022 Accepting new patients
Orthopedic Centers of Colorado, LLC Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
Orthopedic Centers of Colorado, LLC Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Physical Therapy Current Accepting new patients
The University of Texas Southwestern Medical Center at Dallas Physical Therapist Past Accepting new patients

Locations

1411 S Potomac St
Ste 400
Aurora, CO 80012
Phone (303) 671-2102

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

6235 S Main St
Ste C101
Aurora, CO 80016

6235 S Main St
Ste 101
Aurora, CO 80016
Phone (303) 785-7928

4700 Hale Pkwy
Ste 550
Denver, CO 80220
Phone (303) 321-6600

1248 S Broadway
Denver, CO 80210
Phone (720) 699-9095

145 Inverness Dr E
Ste 120
Englewood, CO 80112
Phone (303) 481-0620

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

11211 Dransfeldt Rd
Ste 122
Parker, CO 80134
Phone (720) 639-7920

6011 Harry Hines Blvd
Ste V3
Dallas, TX 75235
Phone (214) 648-6562

6011 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 648-6510

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484

3030 Waterview Pkwy
Richardson, TX 75080
Phone (972) 669-7070

3030 Waterview Pkwy
Fl 1
Richardson, TX 75080
Phone (469) 291-2000

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1558018580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907201",
            "telephone_number": "469-426-7410",
            "fax_number": "214-645-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 WATERVIEW PKWY FL 1",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750801400",
            "telephone_number": "972-669-7181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6235 S Main St Ste C-101",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800165373",
            "country_code": "US",
            "telephone_number": "303-344-9090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1248 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802101504",
            "country_code": "US",
            "telephone_number": "720-699-9095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1356969",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1356969",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.