Individual provider Active NPI

Samantha Jane Vestal

  • Physical Therapist
  • Fredericksburg, VA
National Provider Identifier
1922632124
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305213398 Issued in VA
Practice address
12 Chatham Heights Rd Ste 102
Fredericksburg, VA 22405-2593
Phone
(540) 710-0130
NPI assigned
Feb 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305213398 VA Primary

Addresses

Primary practice location

12 Chatham Heights Rd Ste 102
Fredericksburg, VA 22405-2593

Mailing address

230 Clearfield Ave Ste 124
Virginia Beach, VA 23462-1832
Phone (757) 321-3300

Other names 1

  • Samantha Jane Biben Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200330001882 VA Practitioner - Physical Therapist in Private Practice 2264861046 Reassigns benefits to 3 organizations

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
Fusion Physiotherapy Associates LLCGroup PAC ID 5092093575, 19 clinicians
Vann-Virginia Center for Orthopaedics PCGroup PAC ID 9133115397, 65 clinicians

Practice addresses (Care Compare)

12 Chatham Heights Rd
Suite 102
Fredericksburg, VA 22405-2593
Phone (540) 710-0130

1800 Camelot Dr
Suite 300
Virginia Beach, VA 23454-2440
Phone (757) 321-3300

Merit-based Incentive Payment System (MIPS)

Final score
92.32 of 100Reported as group
Quality
87.23
Promoting interoperability
100
Improvement activities
40
Cost
87.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Feb 27, 2020 Accepting new patients
Vann-Virginia Center for Orthopaedics PC CurrentSince Jul 1, 2022 Accepting new patients
Fusion Physiotherapy Associates LLC Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients
Vann-Virginia Center for Orthopaedics PC Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Feb 27, 2020 Accepting new patients

Locations

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

135 Hanbury Rd W
Ste B
Chesapeake, VA 23322
Phone (757) 819-6512

12 Chatham Heights Rd
Ste 102
Fredericksburg, VA 22405
Phone (540) 710-0130

4701 Spotsylvania Pkwy
Ste 106
Fredericksburg, VA 22407
Phone (540) 710-0100

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

6160 Kempsville Cir
Ste 200B
Norfolk, VA 23502
Phone (757) 321-3383

1800 Camelot Dr
Ste 300
Virginia Beach, VA 23454
Phone (757) 321-3383

230 Clearfield Ave
Ste 124
Virginia Beach, VA 23462
Phone (757) 321-3383

Organizations & group practices 5

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": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1922632124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CLEARFIELD AVE STE 124",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621832",
            "telephone_number": "757-321-3300",
            "fax_number": "757-321-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CHATHAM HEIGHTS RD STE 102",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052593",
            "telephone_number": "540-710-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESTAL",
        "first_name": "SAMANTHA",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "BIBEN",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.