Active NPI
Samantha Kotz, DPT
- Orthopedic Physical Therapist
- Grinnell, IA
National Provider Identifier
1861920332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 087668
- Practice address
- 234 West St S Unit 4
Grinnell, IA 50112-8160 - Phone
- (641) 236-4506
- Fax
- (641) 236-4316
- NPI assigned
- May 30, 2017
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 087668 | IA | Primary |
Addresses
Primary practice location
234 West St S Unit 4
Grinnell, IA 50112-8160
Mailing address
234 West St S Unit 4
Grinnell, IA 50112-8160
Phone (641) 236-4506
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 087668 | Other | IA | STATE LICENSE NUMBER |
Other names 1
- Samantha Quick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210819001022 | CO | Practitioner - Physical Therapist in Private Practice | 4183994437 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- No Limits PT LLC
Practice addresses (Care Compare)
725 N Wilcox St
Castle Rock, CO 80104-1740
Phone (720) 457-5535
725 Wilcox St
Castle Rock, CO 80104-1740
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| No Limits PT, LLC | Orthopedic | Current | Accepting new patients |
Locations
725 Wilcox St
Castle Rock, CO 80104
Phone (720) 457-5535
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1861920332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 WEST ST S UNIT 4",
"city": "GRINNELL",
"state": "IA",
"postal_code": "501128160",
"telephone_number": "641-236-4506",
"fax_number": "641-236-4316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 WEST ST S UNIT 4",
"city": "GRINNELL",
"state": "IA",
"postal_code": "501128160",
"telephone_number": "641-236-4506",
"fax_number": "641-236-4316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTZ",
"first_name": "SAMANTHA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-30",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IA",
"license": "087668",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "087668",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "QUICK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grinnell, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.