SAMUEL JEWELL – Physical Therapist, NPI 1265042840

SAMUEL JEWELL is a healthcare provider. based in Stanwood, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for SAMUEL JEWELL is 1265042840

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL JEWELL
NPI
1265042840
Phone
Not provided
Address
27500 102ND AVE NW
Enumeration Date
7 August 2020
Last Update Date
7 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3606299768
Graduation Year
2020 (6 years ago)
PAC ID
3971929209
Group Practice PAC ID
5698850295
Professional Enrollment ID
I20200818001606
Address ID
WA982928092ST27500NWXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for SAMUEL JEWELL

  • 27500 102ND AVE NW

    STANWOOD, WA 982928092

    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: 2020-08-18

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
I20200818001606IPhysical Therapist In Private PracticeWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes44250$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes29842$0
97530Therapy procedure using functional activities23432$0
97140Therapy procedure using manual technique, each 15 minutes18027$0
97162Evaluation for physical therapy, typically 30 minutes1614$0
View full utilization report →

Insurance plans in this area (ZIP 98292)

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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: 5698850295View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

How do I look up SAMUEL JEWELL by NPI?
Use NPI 1265042840 when you need to reference SAMUEL JEWELL in forms, claims, or directories.
Is SAMUEL JEWELL currently active in the NPI registry?
CMS-published data lists SAMUEL JEWELL as an active registrant.
Can you summarize SAMUEL JEWELL's specialty in plain language?
Clinically, the directory lists SAMUEL JEWELL with Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for SAMUEL JEWELL?
The page summarizes Stanwood, Washington for SAMUEL JEWELL; expand the address list for detail.
What if Stanwood, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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