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

Samuel Thomas

Individual provider Physical Therapist · NPI 1871350199

Samuel Thomas is a Physical Therapist in Private Practice in Mesa, Arizona. Qualified in 2023, 3 years ago. Practices with Ati Holdings of Arizona LLC, a 231-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, Massachusetts and Maryland.

Years since qualifying
3
Licensed in
AZ, MA, MD
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

1712 S Country Club Dr Ste 101
Mesa, AZ 85210-6046
Phone: (602) 313-4337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9512 Harford Rd Ste 3, Baltimore, MD 21234-3127 — (410) 882-3010

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence LPT034273 (AZ)
Physical Therapist Taxonomy 225100000X (MA)
Physical Therapist Taxonomy 225100000X (MD)

Record details

NPI number1871350199
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 4, 2024
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ati Holdings Of Arizona Llc — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Mesa