SAMUEL WILLIBEY DPT
NPI 1265151393
Physical Therapist in North Little Rock, AR
About Samuel Willibey Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL WILLIBEY DPT (NPI 1265151393) is an individual physical therapist in North Little Rock, Arkansas, licensed in Arkansas (PT5211) and active in the NPI registry since August 2022. He maintains a secondary practice location in Little Rock and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samuel Willibey Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Samuel Willibey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
North Little Rock, AR 72117
- Reassigned Medicare billing, Arkansas enrollment
- 176 clinicians in this Medicare group
North Little Rock, AR 72116
- Reassigned Medicare billing, Arkansas enrollment
- 2,038 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORTH LITTLE ROCK, AR 72117
NORTH LITTLE ROCK, AR 72117
NORTH LITTLE ROCK, AR 72117
NORTH LITTLE ROCK, AR 72117
NORTH LITTLE ROCK, AR 72117
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 Samuel Willibey's NPI number?
The NPI number for Samuel Willibey is 1265151393. It was assigned to this individual provider in the NPPES registry on August 23, 2022.
Where is Samuel Willibey located?
Samuel Willibey practices at 4261 Stockton Dr Ste 100, North Little Rock, AR 72117. The listed phone number is (501) 526-5451.
What is Samuel Willibey's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Samuel Willibey enrolled in Medicare?
Yes. Samuel Willibey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Samuel Willibey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Willibey reassigns Medicare benefits to 2 organizations: Orthoarkansas, PA (North Little Rock, AR) and University Of Arkansas For Medical Sciences (North Little Rock, AR). Each 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 Samuel Willibey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Willibey accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Samuel Willibey 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 Samuel Willibey was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Samuel Willibey, DPT · NPI 1265151393
Physical Therapist provider in North Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since August 23, 2022.
## Identity
- **NPI:** 1265151393 (Entity type: Individual)
- **Enumerated:** August 23, 2022
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** PT5211 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4261 STOCKTON DR STE 100, North Little Rock, AR 72117-2966
- **Phone:** (501) 526-5451 · **Fax:** (501) 526-5823
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Orthoarkansas, PA (NPI 1326546672, North Little Rock, AR); University Of Arkansas For Medical Sciences (NPI 1750456638, North Little Rock, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1265151393) · Data from the CMS NPPES public registry.