Individual provider Active NPI

Samantha Balog, DPT

  • Orthopedic Physical Therapist
  • Towson, MD
National Provider Identifier
1649863259
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
28838 Issued in MD
Practice address
800 Kenilworth Dr
Towson, MD 21204-2201
Phone
(443) 441-0637
Fax
(833) 450-5086
NPI assigned
Feb 15, 2021
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT029279 PA
Orthopedic Physical Therapist 2251X0800X 28838 MD Primary

Addresses

Primary practice location

800 Kenilworth Dr
Towson, MD 21204-2201

Mailing address

800 Kenilworth Dr
Towson, MD 21204-2201
Phone (443) 441-0637

Other names 1

  • Samantha Kronenbitter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210218000966 PA Practitioner - Physical Therapist in Private Practice 2163837428 Reassigns benefits to 1 organization
I20220606000711 MD Practitioner - Physical Therapist in Private Practice 2163837428 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

133 Defense Hwy
Annapolis, MD 21401-7015

802 Kenilworth Dr
Towson, MD 21204-2201
Phone (443) 441-0637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Oct 1, 2023 Accepting new patients
Progress Physical Therapy LLC Orthopedic CurrentSince Mar 1, 2025 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Orthopedic CurrentSince Feb 17, 2021 Accepting new patients
Felice Physical Therapy CurrentSince Jun 13, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 1, 2023 Accepting new patients
Felice Physical Therapy Orthopedic CurrentSince Jun 13, 2022 Accepting new patients
Felice Physical Therapy PastSince Jun 12, 2022 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

10 Light St
Baltimore, MD 21202
Phone (410) 202-8581

800 Kenilworth Dr
Towson, MD 21204
Phone (443) 441-0637

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

475 Allendale Rd
Ste 206
Kng of Prussa, PA 19406
Phone (610) 270-0370

261 2nd Street Pike
Southampton, PA 18966
Phone (215) 618-9669

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: samantha.kronenbitter.1@8042.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1649863259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 KENILWORTH DR",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042201",
            "telephone_number": "443-441-0637",
            "fax_number": "833-450-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KENILWORTH DR",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042201",
            "telephone_number": "443-441-0637",
            "fax_number": "833-450-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOG",
        "first_name": "SAMANTHA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT029279",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "28838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "KRONENBITTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.