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

Michael Park Samelson, PT, DPT

Individual provider Physical Therapist · NPI 1619637279

Michael Park Samelson, PT, DPT is a Physical Therapist in Private Practice in Firestone, Colorado. Qualified in 2021, 5 years ago. Practices with Lake Washington Physical Therapy LLC, a 55-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
5
Licensed in
CO
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

11169 E I25 Frontage Rd Ste C
Firestone, CO 80504-5211
Phone: (720) 600-0370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 18105 (CO)

Record details

NPI number1619637279
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedDecember 23, 2021
Last updated in NPPESOctober 12, 2022
Certification dateOctober 12, 2022
Mailing address11169 E I25 Frontage Rd Ste C, Firestone, CO 80504-5211

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 Lake Washington Physical Therapy Llc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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