Individual provider Active NPI

Samantha Ashley Johnson, DPT

  • Physical Therapy Clinic/Center
  • Benbrook, TX
National Provider Identifier
1649704990
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1263686 Issued in TX
Practice address
6483 Southwest Blvd
Benbrook, TX 76132-2777
Phone
(682) 224-2550
Fax
(682) 224-3212
NPI assigned
Apr 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1263686 TX Primary

Addresses

Primary practice location

6483 Southwest Blvd
Benbrook, TX 76132-2777

Mailing address

PO Box 781
Midlothian, TX 76065-0781

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201117002738 TX Practitioner - Physical Therapist in Private Practice 4789095092 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mind Body Balance Physical Therapy PLLCGroup PAC ID 1052854536, 3 clinicians

Practice addresses (Care Compare)

6483 Southwest Blvd
Benbrook, TX 76132-2777
Phone (682) 224-2550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Balance Physical Therapy PLLC CurrentSince Jun 24, 2024 Accepting new patients
Texas Health Care, P.L.L.C. Physical Therapy Current Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Dec 15, 2020 Accepting new patients
Sportcare Rehabilitation Inc Physical Therapy CurrentSince Dec 16, 2020 Accepting new patients
CPT Specialty Group LLC PastSince Dec 16, 2020 Accepting new patients

Locations

6483 Southwest Blvd
Benbrook, TX 76132
Phone (682) 224-2550

4750 Bryant Irvin Rd N
Ft Worth, TX 76107
Phone (817) 923-9000

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

Organizations & group practices 5

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": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1649704990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760650781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6483 SOUTHWEST BLVD",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761322777",
            "telephone_number": "682-224-2550",
            "fax_number": "682-224-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SAMANTHA",
        "middle_name": "ASHLEY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1263686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benbrook, TX

Sources for this page

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