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SAMUEL WILLIBEY DPT
NPI 1265151393
Physical Therapist in North Little Rock, AR

Active since August 23, 2022Accepts Medicare Assignment
82.28/100
CMS Quality Rating
4261 STOCKTON DR STE 100, NORTH LITTLE ROCK, AR 72117(501) 526-5451(501) 526-5823 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1265151393
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameSAMUEL WILLIBEYCredential: DPT
Location Address4261 STOCKTON DR STE 100North Little Rock, AR 72117-2966
Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148
Phone(501) 526-5451
Fax(501) 526-5823
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 23, 2022
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1265151393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in AR · PT5211
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
4261 STOCKTON DR STE 100, North Little Rock, AR 72117
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Secondary Practice Location 1

Location 1800 Fair Park BlvdLittle Rock, AR 72204-1720 · Phone (501) 404-8007 · Fax (501) 904-3620

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID9335523463
PECOS Enrollment IDI20220908001632

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 using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
702 services47 patients
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.
32 services12 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
27 services27 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.
13 services13 patients

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.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

82.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.23
Promoting Interoperability100
Improvement Activities40
Cost77.71

Reported Quality Measures

Documentation of Current Medications in the Medical Record
91%322 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
89%92 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
93%290 patients4/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 273 patients
Patients screened: 100% · 273 patients
93%30 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
92%111 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

KAYLA BETH INGRAM-SMITH APRN
Nurse Practitioner (Acute Care)
4261 STOCKTON DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 526-5451
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Physical Therapist
4261 STOCKTON DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 686-8000
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Durable Medical Equipment & Medical Supplies
4261 STOCKTON DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 686-8000
HAMILTON COLE NEWHART
Family Medicine (Sports Medicine)
4261 STOCKTON DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 526-5451
WAYNE L BRUFFETT M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
4261 STOCKTON DR STE 100
NORTH LITTLE ROCK, AR 72117
Pulaski County (501) 526-7219

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.

What insurance does Samuel Willibey accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 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 12 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.