Individual provider Active NPI

Samuel Isaac Lawrence, DPT

  • Physical Therapist
  • Norfolk, VA
National Provider Identifier
1629692645
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305213579 Issued in VA
Practice address
400 W Brambleton Ave Ste 202
Norfolk, VA 23510-1115
Phone
(757) 623-0867
Fax
(757) 627-2923
NPI assigned
Jun 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305213579 VA Primary

Addresses

Primary practice location

400 W Brambleton Ave Ste 202
Norfolk, VA 23510-1115

Mailing address

1450 Kempsville Rd Ste 102
Virginia Beach, VA 23464-7320
Phone (757) 962-1618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200723001500 VA Practitioner - Physical Therapist in Private Practice 9234553223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Therapy Network IncGroup PAC ID 3072562933, 12 clinicians

Practice addresses (Care Compare)

951 W 21St St
Norfolk, VA 23517-1534
Phone (757) 623-0867

Merit-based Incentive Payment System (MIPS)

Final score
72.99 of 100Reported as group
Quality
66.22
Improvement activities
40
Cost
55.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305213579VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Therapy Network Inc Physical Therapist CurrentSince Jun 1, 2020 Accepting new patients

Locations

637 Kingsborough Sq
Ste F
Chesapeake, VA 23320
Phone (757) 547-7554

400 W Brambleton Ave
Ste 202
Norfolk, VA 23510
Phone (757) 337-4018

951 W 21st St
Ste 103
Norfolk, VA 23517
Phone (757) 623-0867

951 W 21st St
Norfolk, VA 23517
Phone (757) 623-0867

1450 Kempsville Rd
Ste 102
Virginia Beach, VA 23464
Phone (757) 455-8300

Organizations & group practices 1

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": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1629692645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 KEMPSVILLE RD STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234647320",
            "telephone_number": "757-962-1618",
            "fax_number": "757-481-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W BRAMBLETON AVE STE 202",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101115",
            "telephone_number": "757-623-0867",
            "fax_number": "757-627-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "SAMUEL",
        "middle_name": "ISAAC",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-05",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.