MIRANDA WHITLEY SAMSON
NPI 1205475670
Physical Medicine & Rehabilitation in Longmont, CO

Active since January 02, 2020
1325 DRY CREEK DR STE 204, LONGMONT, CO 80503(303) 938-1141 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2025, Jan 2, 2020 (2 updates tracked since 2020).

About Miranda Whitley Samson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRANDA WHITLEY SAMSON (NPI 1205475670) is an individual physical medicine & rehabilitation provider in Longmont, Colorado, licensed in Colorado (PTL.0016778) and active in the NPI registry since January 2020. She is a graduate of University Of Colorado School Of Medicine, Aurora (2019).

NPPES Registry Identity

NPI1205475670
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameMIRANDA WHITLEY SAMSON
Location Address1325 DRY CREEK DR STE 204Longmont, CO 80503-7748
Mailing Address1325 Dry Creek Dr Ste 204Longmont, CO 80503-7748 · (303) 938-1141
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, AuroraGraduated 2019
Enumeration DateJanuary 2, 2020
Last NPPES UpdateApril 8, 20252 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
✔ NPI 1205475670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License✔ Licensed in CO · PTL.0016778
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
1325 DRY CREEK DR STE 204, Longmont, CO 80503

Other Identifiers 1

OtherPTL.0016778CO · Colorado Physical Therapy License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miranda Whitley Samson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032544838
PECOS Enrollment IDI20200125000030

Medicare Billing Reassignment

Medicare enrollment records show Miranda Samson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
315 W SOUTH BOULDER RD, STE. # 100
Louisville, CO 80027
  • Reassigned Medicare billing, Colorado enrollment
  • 30 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
82 services20 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
69 services11 patients
Training for self-care or home management, each 15 minutes 97535
This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
58 services18 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
48 services14 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
1325 DRY CREEK DR STE 204
LONGMONT, CO 80503
Physical Therapist
1325 DRY CREEK DR STE 204
LONGMONT, CO 80503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miranda Samson's NPI number?

The NPI number for Miranda Samson is 1205475670. It was assigned to this individual provider in the NPPES registry on January 2, 2020.

Where is Miranda Samson located?

Miranda Samson practices at 1325 Dry Creek Dr Ste 204, Longmont, CO 80503. The listed phone number is (303) 938-1141.

What is Miranda Samson's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Miranda Samson enrolled in Medicare?

Yes. Miranda Samson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Miranda Samson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Samson reassigns Medicare benefits to Coal Creek Physical Therapy, LLC (Louisville, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miranda Samson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miranda Samson accept?

Health plans from Select Health list Miranda Samson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Miranda Samson was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.