Individual provider Active NPI

Samantha Atty, DPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1760246789
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305503 Issued in CA
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

Updated by the provider on Feb 20, 2024

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 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 IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 7517059132, 6 clinicians

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

OrganizationSpecialtyStatusNew patients
Novi DPT LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Ilya Kaminsky DC a Professional Corporation Physical Therapist CurrentSince Feb 14, 2024 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.

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.

Verify at the official NPI Registry.