Active NPI
Samantha Atty, DPT
- Physical Therapist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 305503
- Practice address
- 6333 Wilshire Blvd
Los Angeles, CA 90048-5702 - Phone
- (323) 966-2676
- NPI assigned
- Feb 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 305503 | CA | Primary |
Addresses
Primary practice location
6333 Wilshire Blvd
Los Angeles, CA 90048-5702
Mailing address
6333 Wilshire Blvd Ste 101
Los Angeles, CA 90048-5720
Other practice location 1
1932 14th St
Santa Monica, CA 90404-4605
Phone (310) 344-2276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250228002743 | MI | Practitioner - Physical Therapist in Private Practice | 8123465242 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novi DPT LLC
Practice addresses (Care Compare)
21600 Novi Rd
Novi, MI 48375-5605
Phone (248) 679-5396
30180 Orchard Lake Rd
Farmington Hills, MI 48334-2266
Phone (248) 702-6725
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novi DPT LLC | Physical Therapist | Current | Accepting new patients |
| Ilya Kaminsky DC a Professional Corporation | Physical Therapist | Current | Accepting new patients |
Locations
16260 Ventura Blvd
Ste 705
Encino, CA 91436
Phone (818) 995-7500
6360 Wilshire Blvd
Ste 301
Los Angeles, CA 90048
Phone (323) 966-2676
6333 Wilshire Blvd
Ste 101
Los Angeles, CA 90048
Phone (323) 966-2676
18899 W 12 Mile Rd
Lathrup Village, MI 48076
Phone (248) 219-4772
21600 Novi Rd
Ste 400
Novi, MI 48375
Phone (248) 679-5396
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.
-
- Physical Therapist
- Los Angeles, CA
- NPI 1417128125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1760246789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6333 WILSHIRE BLVD STE 101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6333 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485702",
"telephone_number": "323-966-2676"
}
],
"practiceLocations": [
{
"address_1": "1932 14th St",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904044605",
"country_code": "US",
"telephone_number": "310-344-2276",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ATTY",
"first_name": "SAMANTHA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-09",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "305503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.