Individual provider Active NPI

Samantha Kotz, DPT

  • Orthopedic Physical Therapist
  • Grinnell, IA
National Provider Identifier
1861920332
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
087668 Issued in IA
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

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
087668OtherIASTATE LICENSE NUMBER

Other names 1

  • Samantha Quick Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 6 clinicians

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

OrganizationSpecialtyStatusNew patients
No Limits PT, LLC Orthopedic CurrentSince Jul 26, 2021 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.

Verify at the official NPI Registry.