Samuel Cole Chaffin, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1583 Issued in AR

Practice address

2801 S Olive St
Suite 9D
Pine Bluff, AR 71603-5433

Phone

(870) 541-0003

Fax

(870) 541-0008

NPI assigned

Apr 3, 2007

Last updated

Dec 11, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Arkansas Physical Therapy IncGroup PAC ID 7113945650, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.03 of 100Reported as group

Quality

69.16

Improvement activities

40

Cost

71.23

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southeast Arkansas Physical Therapy, Inc.

  • Physical Therapist
  • Pine Bluff, AR
  • NPI 1245293950
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1568583755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 S OLIVE ST",
            "address_2": "SUITE 9D",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716035433",
            "telephone_number": "870-541-0003",
            "fax_number": "870-541-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 S OLIVE ST",
            "address_2": "SUITE 9D",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716035433",
            "telephone_number": "870-541-0003",
            "fax_number": "870-541-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAFFIN",
        "first_name": "SAMUEL",
        "middle_name": "COLE",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "1583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130070721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5T405",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Carter, DDS
• Leanne Metzger Carter, PA-C
• James Steven Cash, MD
• Cbullard Counseling Services LLC
• Cdu, PLLC
• Christa Chambers
• Changing Mindsets LTD Company
• Chapel Pharmacy Inc
• Charlotte Chapple, CRNA
• Mistie A Charlemagne, MD

• Physical Therapist in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.