Active NPI
Samantha Rae Dean, PT, DPT
- Physical Therapist
- Glen Burnie, MD
National Provider Identifier
1861232811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29945
- Practice address
- 1450 Furnace Ave
Glen Burnie, MD 21060-7002 - Phone
- (667) 270-1848
- NPI assigned
- May 28, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 29945 | MD | Primary |
Addresses
Primary practice location
1450 Furnace Ave
Glen Burnie, MD 21060-7002
Mailing address
304 Maryland Ave
Pasadena, MD 21122-5412
Other practice location 1
1741 Ashland Ave
Baltimore, MD 21205-1531
Phone (443) 923-1870
Other names 1
- Samantha Rae Wysocki
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29945 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Beginning Pediatric Rehab, Inc. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Physical Therapist
- Columbia, MD
- NPI 1881724169
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1861232811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 MARYLAND AVE",
"city": "PASADENA",
"state": "MD",
"postal_code": "211225412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 FURNACE AVE",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210607002",
"telephone_number": "667-270-1848"
}
],
"practiceLocations": [
{
"address_1": "1741 Ashland Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212051531",
"country_code": "US",
"telephone_number": "443-923-1870",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEAN",
"first_name": "SAMANTHA",
"middle_name": "RAE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-28",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "29945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "WYSOCKI",
"middle_name": "RAE",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.