Michael Park Samelson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

18105 Issued in CO

Practice address

11169 E I25 Frontage Rd Ste C
Firestone, CO 80504-5211

Phone

(720) 600-0370

NPI assigned

Dec 23, 2021

Last updated

Oct 12, 2022By 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

Medicare fee-for-service enrollment

Enrolled in CO, WA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Washington Physical Therapy LLCGroup PAC ID 3476679812, 54 clinicians

Practice addresses (Care Compare)

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.

• Lake Washington Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Kirkland, WA
  • NPI 1770894990

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Integral Physical Therapy LLC

  dba Integral Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Firestone, CO
  • NPI 1891151627

  Physical Therapist

  Medicare reassignment NPD
• Panorama Orthopedics and Spine Center PC

  • Orthopaedic Surgery Physician
  • Golden, CO
  • NPI 1295787950
  Medicare reassignment NPD
• Integral Physical Therapy LLC

  dba Integral Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Lone Tree, CO
  • NPI 1427781855

  Physical Therapist

  NPD
• Panorama Orthopedics & Spine Center, PC

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1194390518
  NPD

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1619637279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11169 E I25 FRONTAGE RD STE C",
            "city": "FIRESTONE",
            "state": "CO",
            "postal_code": "805045211",
            "telephone_number": "720-600-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11169 E I25 FRONTAGE RD STE C",
            "city": "FIRESTONE",
            "state": "CO",
            "postal_code": "805045211",
            "telephone_number": "720-600-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMELSON",
        "first_name": "MICHAEL",
        "middle_name": "PARK",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-23",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "18105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian Stewart Rinehart, OTD, OTR/L
• Summer Roach, NP
• Michaela C. Romero, MSN,C-ANP
• Jonie Marie Ross, RDH
• Safeway Inc (Safeway Pharmacy #1828)
• Christopher David Sandbach, MA
• Lindsey Marlene Sanford, PHARMD
• Christi Ann Schernecke, MSN
• Stacey Michelle Schulte, OTR
• Leanne Elyse Schultz, PT, DPT

• Physical Therapist in Firestone, CO
• Providers in Firestone, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.