Individual provider Active NPI

Lydia Nicole Ortiz Samot, DC

  • Chiropractor
  • Bayamon, PR
National Provider Identifier
1912627795
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
877 Issued in PR
Practice address
Bloque 51 #55 Calle Marginal
Santa Rosa Local 1
Bayamon, PR 00959-6837
Phone
(787) 638-0605
NPI assigned
Aug 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 877 PR Primary

Addresses

Primary practice location

Bloque 51 #55 Calle Marginal
Santa Rosa Local 1
Bayamon, PR 00959-6837

Mailing address

50 Ave Ramon L Rodriguez Apt 1532
Bayamon, PR 00959-5910
Phone (787) 638-0605

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241226002787 PR Practitioner - Chiropractic 1759818008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
University Central del Caribe Escuela de Medicina, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Calle Marginal
Bayamon, PR 00959-5593
Phone (787) 638-0605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
877PRMDForensic Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro-Athletics LLC CurrentSince Nov 1, 2024 Accepting new patients
LN Spine Studio LLC Chiropractor CurrentSince Oct 1, 2025 Accepting new patients

Organizations & group practices 2

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": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1912627795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 AVE RAMON L RODRIGUEZ APT 1532",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595910",
            "telephone_number": "787-638-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLOQUE 51 #55 CALLE MARGINAL",
            "address_2": "SANTA ROSA LOCAL 1",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009596837",
            "telephone_number": "787-638-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ SAMOT",
        "first_name": "LYDIA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.