Individual provider Active NPI

Samuel Marsico, PT

  • Physical Therapist
  • Langhorne, PA
National Provider Identifier
1649430638
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019681 Issued in PA
Practice address
2022 E Old Lincoln Hwy
Langhorne, PA 19047-3002
Phone
(215) 891-5150
Fax
(215) 891-1410
NPI assigned
Jun 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J10002368 DE
Physical Therapist 225100000X PT019681 PA Primary

Addresses

Primary practice location

2022 E Old Lincoln Hwy
Langhorne, PA 19047-3002

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other identifiers 4

IdentifierTypeStateIssuer
5070-0107OtherGHMSI
3535006000OtherIBC
94292301OtherCAREFIRST
1649430638MedicaidDE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090826000699 PA Practitioner - Physical Therapist in Private Practice 0244391407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

2022 E Old Lincoln Hwy
Langhorne, PA 19047-3002
Phone (215) 891-5150

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Jul 27, 2009 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jul 27, 2009 Accepting new patients
Ati Holdings, LLC Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

2641 Street Rd
Bensalem, PA 19020
Phone (267) 525-0135

220 Commerce Cir
Bristol, PA 19007
Phone (215) 826-8089

73 Old Dublin Pike
Ste 6
Doylestown, PA 18901
Phone (215) 348-0666

511 S Oxford Valley Rd
Fairless Hills, PA 19030
Phone (215) 949-7985

1753 Kendarbren Dr
Ste 610
Jamison, PA 18929
Phone (215) 343-2141

634 Old York Rd
Jenkintown, PA 19046
Phone (215) 881-9181

2022 E Old Lincoln Hwy
Ste 6
Langhorne, PA 19047
Phone (215) 891-5150

2022 E Old Lincoln Hwy
Langhorne, PA 19047
Phone (215) 891-5150

7803 New Falls Rd
Ste B
Levittown, PA 19055
Phone (215) 949-7985

776 Bethlehem Pike
#2
Montgomeryville, PA 18936
Phone (267) 328-1310

770 Newtown Yardley Rd
Newtown, PA 18940
Phone (215) 860-2990

2121 Cottman Ave
#14
Philadelphia, PA 19149
Phone (267) 668-1891

9475 Roosevelt Blvd
#B4
Philadelphia, PA 19114
Phone (215) 464-6200

180 W Girard Ave
Ste 1
Philadelphia, PA 19123
Phone (267) 592-4033

9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200

118 Townsedge Dr
Quarryville, PA 17566
Phone (717) 806-5126

630 Easton Rd
Warrington, PA 18976
Phone (215) 491-5961

680 Stony Hill Rd
Unit 8
Yardley, PA 19067
Phone (215) 595-2646

Organizations & group practices 3

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1649430638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 E OLD LINCOLN HWY",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190473002",
            "telephone_number": "215-891-5150",
            "fax_number": "215-891-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSICO",
        "first_name": "SAMUEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10002368",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHMSI",
            "identifier": "5070-0107",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "3535006000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "94292301",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649430638",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.