Samuel Reed Blair, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305216527 Issued in VA

Practice address

11412 Belvedere Vista LN
North Chesterfield, VA 23235-4392

Phone

(804) 330-6385

Fax

(804) 728-2966

NPI assigned

Oct 7, 2024

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 VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Virginia Commonwealth University, School of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Divine Health and Wellness CorpGroup PAC ID 0345601357, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Divine Health and Wellness Corp

  • Physical Therapist
  • North Chesterfield, VA
  • NPI 1427748995
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1629897756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11412 BELVEDERE VISTA LN",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354392",
            "telephone_number": "804-330-6385",
            "fax_number": "804-728-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11412 BELVEDERE VISTA LN",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354392",
            "telephone_number": "804-330-6385",
            "fax_number": "804-728-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "SAMUEL",
        "middle_name": "REED",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-07",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Virginia, Inc.
• Miles Thomas Birmingham, D.O.
• Jabriel Bishop
• Bitty Bites Pediatric Dentistry Inc.
• Black River Transportation LLC
• Megan Christine Blan, BCABA
• Adrienne Leigh Blankenship-Loker, LCSW
• Rathi Blankenship, PA-C
• Andrea Monique Blanton
• BLC Transportation

• Physical Therapist in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.