Individual provider Active NPI

Samantha Risa Faliks, P.T.

  • Physical Therapist
  • Altamonte Springs, FL
National Provider Identifier
1952380321
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40324 Issued in FL
Practice address
1180 Spring Centre South Blvd Ste 225
Altamonte Springs, FL 32714-1991
Phone
(407) 495-1165
NPI assigned
Jan 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 027175-1 NY
Physical Therapist 225100000X 40324 FL Primary

Addresses

Primary practice location

1180 Spring Centre South Blvd Ste 225
Altamonte Springs, FL 32714-1991

Mailing address

105 E Pigeon Plum Dr Apt 101
Jupiter, FL 33458-7864
Phone (516) 435-8363

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250904004716 FL Practitioner - Physical Therapist in Private Practice 2769403955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 E Pigeon Plum Dr
Apt 101
Jupiter, FL 33458-7864

1180 Spring Centre S Blvd
Suite 225
Altamonte Springs, FL 32714

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027175NYMDClinical Psychologist
40324FLMDPhysical Therapist
027175-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Axiomhealth Management LLC Physical Therapist CurrentSince Aug 10, 2025 Accepting new patients
Port Physical Therapy Past Accepting new patients

Locations

1180 Spring Centre South Blvd
Ste 225
Altamonte Springs, FL 32714
Phone (407) 494-0644

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1952380321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E PIGEON PLUM DR APT 101",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587864",
            "telephone_number": "516-435-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SPRING CENTRE SOUTH BLVD STE 225",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327141991",
            "telephone_number": "407-495-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALIKS",
        "first_name": "SAMANTHA",
        "middle_name": "RISA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027175-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "40324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.