Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colton Samuelsen, DPT

Individual provider Physical Therapist · NPI 1700450491

Colton Samuelsen, DPT is a Physical Therapist in Private Practice in Kerrville, Texas. Qualified in 2021, 5 years ago. Practices with Mountain Land Rehabilitation LLC, a 203-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas and Utah.

Years since qualifying
5
Licensed in
TX, UT
In the registry since
2021
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1412 Sidney Baker St
Kerrville, TX 78028-2725
Phone: (830) 315-8420
Fax: (830) 315-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4624 S Holladay Blvd Ste 2, Salt Lake City, UT 84117-7169 — (801) 277-1028

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1408171 (TX)
Physical Therapist Taxonomy 225100000X · Licence 12273912-8016 (UT)

Record details

NPI number1700450491
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 17, 2021
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026
Mailing address12952 Bandera Rd Ste 107, Helotes, TX 78023-4733

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mountain Land Rehabilitation Llc — 203 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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