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

Samantha R. Vaisman, DPT, PT

Individual provider Physical Therapist · NPI 1457022071

Samantha R. Vaisman, DPT, PT is a Physical Therapist in Private Practice in San Diego, California. Qualified in 2021, 5 years ago. Practices with Performance Plus Physical Therapy, Inc, a 21-clinician group and accepts Medicare assignment. Licensed in California.

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

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Practice location Address checks out

9909 Mira Mesa Blvd Ste 120
San Diego, CA 92131-1060
Phone: (858) 693-0436
Fax: (858) 693-0437
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT300766 (CA)

Record details

NPI number1457022071
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT , PT
Sole proprietorNo
NPI enumeratedSeptember 23, 2021
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021

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 Performance Plus Physical Therapy, Inc. — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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