SAMANTHA I REYNOLDS – Physical Therapist, NPI 1083168546

SAMANTHA I REYNOLDS is a healthcare provider. based in Hurst, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 1278935 (TX). The NPI Number for SAMANTHA I REYNOLDS is 1083168546

Main info

Female
10 Years Of Experience
Name
SAMANTHA I REYNOLDS
NPI
1083168546
Phone
Not provided
Address
860 AIRPORT FWY
Enumeration Date
12 August 2016
Last Update Date
12 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8179121420
Graduation Year
2016 (10 years ago)
PAC ID
5799290250
Group Practice PAC ID
4486994209
Professional Enrollment ID
I20250714002837
Address ID
TX762622078WE1301XBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for SAMANTHA I REYNOLDS

  • 860, Airport Freeway, Hurst, Tarrant County, Texas, 76053, United States

    SUITE 210

    HURST, TX 760543249

    Phone:

    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: 2025-07-14

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
I20250714002837IPhysical Therapist In Private PracticeTXTBD

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 76054)

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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: 4486994209View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What number should I use to identify SAMANTHA I REYNOLDS for billing?
Administrative and clinical systems typically use NPI 1083168546 for SAMANTHA I REYNOLDS.
Should I treat SAMANTHA I REYNOLDS as an active provider?
Patients and plans typically see SAMANTHA I REYNOLDS as active in the national extract.
What services align with SAMANTHA I REYNOLDS's listing?
SAMANTHA I REYNOLDS's public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to SAMANTHA I REYNOLDS?
The directory associates SAMANTHA I REYNOLDS with Hurst, Texas. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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