Doctor profile · Federal record
Dr. Samantha Sullivan, PT, DPT
Physical Therapist (CMS: Physical Therapist in Private Practice) · Johnston, IA
- NPI 1508418930
- Accepts Medicare
- 7 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
5627 Nw 86Th St Ste 200
Johnston, IA 501311738
(515) 270-0303
fax (515) 270-0160 - Additional location
-
1810 Sw White Birch Cir Ste 107
Ankeny, IA 500237226
(515) 964-8885
fax (515) 964-4557
Credentials & registration
- NPI registered
- July 2019 — 7 yrs on file
- Profile last updated
- April 6, 2023
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- Iowa #096840
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1508418930. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
699
Distinct HCPCS
4
Medicare allowed
$19,871
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 231 | 31 | $25 | |
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 230 | 30 | $22 | |
97530 |
Therapy procedure using functional activities | 221 | 28 | $34 | |
97162 |
Evaluation for physical therapy, typically 30 minutes | 17 | 14 | $95 |
In context: peer comparison
Among 5 peers in this city , average services per provider: 204. This provider delivers 3.4× the peer median.Frequently asked questions
What is Dr. Samantha Sullivan's medical specialty?
Dr. Samantha Sullivan practices Physical Therapist in Johnston, IA.
Where does Dr. Samantha Sullivan practice?
Dr. Samantha Sullivan practices at 5627 Nw 86Th St Ste 200, Johnston, IA 501311738. Office phone: 5152700303.
What is Dr. Samantha Sullivan's NPI?
Dr. Samantha Sullivan's National Provider Identifier (NPI) is 1508418930, issued by NPPES.
Does Dr. Samantha Sullivan accept Medicare assignment?
Yes. Dr. Samantha Sullivan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Samantha Sullivan commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112); Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure using functional activities (HCPCS 97530). Source: CMS Medicare Physician & Other Practitioners file.