Active NPI
Samantha Rae Ventura, DPT
- Physical Therapist
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0017017
- Practice address
- 3854 Village Seven Rd
Colorado Springs, CO 80917-2801 - Phone
- (719) 574-8761
- NPI assigned
- Jul 21, 2020
- Last updated
- Aug 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 0017017 | CO | Primary |
Addresses
Primary practice location
3854 Village Seven Rd
Colorado Springs, CO 80917-2801
Mailing address
2610 Grand Vista Cir # A211
Colorado Springs, CO 80904-5245
Phone (513) 939-6223
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0017017 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sand Coast Rehab Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
1525 Post St
San Francisco, CA 94109
Phone (415) 202-7800
3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403
400 Route 70
Lakewood, NJ 08701
Phone (866) 959-2846
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Lakewood, NJ
- NPI 1639766603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1902414485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610 GRAND VISTA CIR # A211",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809045245",
"telephone_number": "513-939-6223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3854 VILLAGE SEVEN RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809172801",
"telephone_number": "719-574-8761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENTURA",
"first_name": "SAMANTHA",
"middle_name": "RAE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-21",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0017017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.