Individual provider Active NPI

Caroline Samsonik, DPT

  • Physical Therapist
  • Stoneham, MA
National Provider Identifier
1841034360
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27021 Issued in MA
Practice address
62 Montvale Ave Ste Z
Stoneham, MA 02180-3600
Phone
(617) 843-5320
Fax
(774) 272-8474
NPI assigned
Jun 20, 2024
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 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 27021 MA Primary

Addresses

Primary practice location

62 Montvale Ave Ste Z
Stoneham, MA 02180-3600

Mailing address

62 Montvale Ave Ste Z
Stoneham, MA 02180-3600
Phone (617) 843-5320

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241004001024 MA Practitioner - Physical Therapist in Private Practice 9133650872 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massachusetts Luna Care Physical Therapy LLCGroup PAC ID 8628468998, 26 clinicians
Boston Health and Wellness LLCGroup PAC ID 2961823760, 9 clinicians

Practice addresses (Care Compare)

Boston, MA 02109
Phone (866) 525-3175

135 Elm St
Stoneham, MA 02180-3427

62 Montvale Ave
Suite Z
Stoneham, MA 02180-3600
Phone (617) 843-5320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27021MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Health & Wellness, LLC Physical Therapist CurrentSince Sep 3, 2024 Accepting new patients
Massachusetts Luna Care Physical Therapy LLC Physical Therapist CurrentSince Dec 27, 2024 Accepting new patients

Locations

10 Post Office Sq
Ste 800
Boston, MA 02109
Phone (617) 231-0011

62 Montvale Ave
Ste Z
Stoneham, MA 02180
Phone (617) 843-5320

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, 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": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1841034360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 MONTVALE AVE STE Z",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803600",
            "telephone_number": "617-843-5320",
            "fax_number": "774-272-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 MONTVALE AVE STE Z",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803600",
            "telephone_number": "617-843-5320",
            "fax_number": "774-272-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSONIK",
        "first_name": "CAROLINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "27021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

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