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

Miranda Whitley Samson

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1205475670

Miranda Whitley Samson is a Physical Therapist in Private Practice in Longmont, Colorado. Graduated from University of Colorado School of Medicine, Aurora in 2019, 7 years ago. Practices with Physical Therapy of Boulder, a 19-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
7
Trained at
University of Colorado School of Medicine, Aurora
Licensed in
CO
In the registry since
2020
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Practice location Address checks out

1325 Dry Creek Dr Ste 204
Longmont, CO 80503-7748
Phone: (303) 938-1141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence PTL.0016778 (CO)

Record details

NPI number1205475670
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 2, 2020
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address1325 Dry Creek Dr Ste 204, Longmont, CO 80503-7748

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, AURORA
Graduated 2019 (7 years in practice)
Group practice Physical Therapy Of Boulder — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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