Samuel Quinby, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

421 Miller Ave
Mill Valley, CA 94941-2903

Phone

(415) 388-8166

NPI assigned

Oct 9, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Marin Physical Therapy IncGroup PAC ID 1052466950, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Active Marin Physical Therapy Inc

  dba Cynthia Lewton Dehan

  • Physical Therapy Clinic/Center
  • Larkspur, CA
  • NPI 1184852766
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1942081849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 FULTON ST APT 15",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183896",
            "telephone_number": "949-923-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 MILLER AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412903",
            "telephone_number": "415-388-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINBY",
        "first_name": "SAMUEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Provencal
• Pulmonary & Critical Care Medicine, Inc. (Merrill R Nisam, MD)
• Georgia L Pung, M.D.
• Quantum Physical Therapy
• Heidi Freya Queen, M.D
• Kira Quinn
• Theresa Raabe
• Arnold R Rabin, M.D.
• Orli Rabin, RD
• Amrit Rai

• Physical Therapist in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.