Active NPI
Samuel Joseph Vollbrecht, DPT
- Physical Therapist
- Millsboro, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4292
- Practice address
- 28535 Dupont Blvd Unit 1
Millsboro, DE 19966-4799 - Phone
- (302) 297-0700
- Fax
- (302) 297-0701
- NPI assigned
- Aug 4, 2020
- Sex
- Male
- 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 | 4292 | NV | Primary |
Addresses
Primary practice location
28535 Dupont Blvd Unit 1
Millsboro, DE 19966-4799
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
8402 Centennial Pkwy Ste 240
Las Vegas, NV 89149-4793
Phone (702) 294-7499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT-2023-2277 | Other | NM | LICENSE-PT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, NM, MO, ME
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14802 Shamrock Way C
Serc Smithville
Smithville, MO 64089-8381
Phone (816) 873-1101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Health and Wellness Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Rumford Hospital | Current | Accepting new patients | |
| Hometown Care, LLC | Physical Therapist | Current | Accepting new patients |
| Rumford Hospital | Current | Accepting new patients | |
| Serc Rehabilitation Partners, LLC | Physical Therapist | Current | Accepting new patients |
| Serc Rebabilitation Partners, LLC | Physical Therapist | Current | Accepting new patients |
| Sportherapy Southwest, PC | Physical Therapist | Past | Accepting new patients |
Locations
4079 Tongass Ave
Ste 102
Ketchikan, AK 99901
Phone (907) 225-7808
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482
420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581
1225 SW State Route 7
Blue Springs, MO 64014
Phone (816) 295-2051
109 W Franklin St
Clinton, MO 64735
Phone (660) 383-1280
3355 Main St
Kansas City, MO 64111
Phone (816) 399-0806
14802 Shamrock Way
Ste C
Smithville, MO 64089
Phone (816) 873-1100
834 Paseo del Pueblo Sur
Taos, NM 87571
Phone (575) 418-6787
Organizations & group practices 7
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.
-
- Physical Therapist
- Belton, MO
- NPI 1760745244
-
- Physical Therapist
- Ketchikan, AK
- NPI 1649577578
-
- Critical Access Hospital
- Rumford, ME
- NPI 1205991122
-
- Medicare Defined Swing Bed Hospital Unit
- Rumford, ME
- NPI 1982742482
-
- Physical Therapist
- Overland Park, KS
- NPI 1598190209
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Fort Worth, TX
- NPI 1801812698
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1881204923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"fax_number": "517-435-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28535 DUPONT BLVD UNIT 1",
"city": "MILLSBORO",
"state": "DE",
"postal_code": "199664799",
"telephone_number": "302-297-0700",
"fax_number": "302-297-0701"
}
],
"practiceLocations": [
{
"address_1": "8402 Centennial Pkwy Ste 240",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891494793",
"country_code": "US",
"telephone_number": "702-294-7499",
"fax_number": "702-294-7494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VOLLBRECHT",
"first_name": "SAMUEL",
"middle_name": "JOSEPH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-04",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "4292",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE-PT",
"identifier": "PT-2023-2277",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Millsboro, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.