SAMUEL WILLIAM BAXTER (DPT) – Physical Therapist, NPI 1215770672

SAMUEL WILLIAM BAXTER (DPT) is a healthcare provider. based in Colorado springs, Colorado. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 19886 (CO). The NPI Number for SAMUEL WILLIAM BAXTER (DPT) is 1215770672

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL WILLIAM BAXTER (DPT)
NPI
1215770672
Phone
(719) 596-0880
Address
6160 TUTT BLVD STE 240
Enumeration Date
14 June 2024
Last Update Date
14 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7196002075
Graduation Year
2024 (2 years ago)
PAC ID
2860937414
Group Practice PAC ID
7719976703
Professional Enrollment ID
I20240708004060
Address ID
CO809203487CO4105XPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

2,988 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CO

Provider Addresses for SAMUEL WILLIAM BAXTER (DPT)

  • 6160 TUTT BLVD STE 240

    COLORADO SPRINGS, CO 809233502

    Phone: (719) 596-0880

    Fax: (719) 596-0899

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240708004060IPhysical Therapist In Private PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80923)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719976703View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeOH
-CO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeAL
-CO

Reviews

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Frequently asked questions

Can I use this page to confirm SAMUEL WILLIAM BAXTER (DPT)'s NPI?
Yes. SAMUEL WILLIAM BAXTER (DPT) is listed with NPI 1215770672 in the public NPI dataset.
Can I rely on SAMUEL WILLIAM BAXTER (DPT) being an active provider?
As of the registry snapshot, SAMUEL WILLIAM BAXTER (DPT) is marked active.
What is SAMUEL WILLIAM BAXTER (DPT)'s specialty?
The listing groups SAMUEL WILLIAM BAXTER (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect SAMUEL WILLIAM BAXTER (DPT) on a map?
Expect Colorado Springs, Colorado as a primary anchor for SAMUEL WILLIAM BAXTER (DPT) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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