Individual provider Active NPI

Chandler Samargia, PT

  • Physical Therapist
  • Warren, OH
National Provider Identifier
1649930579
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019586 Issued in OH
Practice address
260 Niles Cortland Rd NE
Warren, OH 44484-1938
Phone
(330) 980-3061
NPI assigned
Dec 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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 PT019586 OH Primary

Addresses

Primary practice location

260 Niles Cortland Rd NE
Warren, OH 44484-1938

Mailing address

2250 Pasadena Ave
Newton Falls, OH 44444-1880
Phone (330) 720-9677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220503002901 OH Practitioner - Physical Therapist in Private Practice 3476940834 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Ohio Medical University, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

260 Niles Cortland Rd NE
Warren, OH 44484-1938
Phone (330) 372-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT019586OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
TCC 260 LLC Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
Girard Integrated Health and Wellness, LLC Physical Therapist CurrentSince Jun 16, 2024 Accepting new patients

Locations

798 E Liberty St
Girard, OH 44420
Phone (330) 545-6550

260 Niles Cortland Rd NE
Warren, OH 44484
Phone (330) 372-9000

Organizations & group practices 2

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": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1649930579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 PASADENA AVE",
            "city": "NEWTON FALLS",
            "state": "OH",
            "postal_code": "444441880",
            "telephone_number": "330-720-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 NILES CORTLAND RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841938",
            "telephone_number": "330-980-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMARGIA",
        "first_name": "CHANDLER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-20",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.