NPPES file of Aug 9, 2026

Jacob Sampson, PT

Physical Therapist · Indianapolis, IN

Jacob Sampson, PT is a physical therapist with a practice address in Indianapolis, Indiana, and NPI 1639954134, issued on Aug 31, 2023. Check the license (Indiana 05015279A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1639954134
Name
Jacob Sampson
Credential
PT
Primary taxonomy
Physical Therapist 225100000X
License number
05015279A IN
Self-reported in NPPES; status is on the state search
Practice location
5641 Crawfordsville RD, Indianapolis, IN 46224
Phone
(317) 524-8570
Enumerated
Aug 31, 2023
Record last updated
Aug 31, 2023
Medicare enrollment
Enrolled (PECOS I20240109004456); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 5641 Crawfordsville RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kellsie Emerick, PT, DPTPhysical Therapist1275012536

Verify Jacob Sampson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Indiana board licenses this profession
    Search for license 05015279A
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Indiana license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

Bills Medicare through one group practice

  1. Fast Track Physical Therapy LLCIndianapolis, IN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jacob Sampson among 4,894 physical therapist records in Indiana

Jacob Sampson, PT is one of 4,894 physical therapist records with a practice address in Indiana. 31% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 84% of them.

  • NPI issued2023 · 84% of these records are older, 12% newer
  • In a Medicare fileYes · 31% of these records are
  • In the CMS Doctors and Clinicians fileYes · 31% of these records are
  • Graduated2023 · median 2015 among the 1,533 with a school on file
  • Record last updated2023 · 61% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

838 physical therapist records list a practice address in Indianapolis

They are 838 of the 30,493 NPPES records with a practice address in Indianapolis, and 4,894 physical therapist records in Indiana.

The 8 physical therapist records with the nearest ZIP codes

  1. Caleb Brown, PT, DPTSpeedway, IN 462241376423970
  2. Gouri ChitalapudiIndianapolis, IN 462241407223506
  3. Kellsie Emerick, PT, DPTIndianapolis, IN 462241275012536
  4. Allison Forsythe, DPTIndianapolis, IN 462241083304836
  5. Courtney Merrill, DPTSpeedway, IN 462241265384895
  6. Deborah Pepsak, PTSpeedway, IN 462241336432202
  7. Teresa Erickson, P.T.Indianapolis, IN 462251497808703
  8. Jill Henderzahs-Mason, DPTIndianapolis, IN 462251467412809

Common questions

What is Jacob Sampson, PT's NPI number?

Jacob Sampson, PT's National Provider Identifier (NPI) is 1639954134, issued on Aug 31, 2023. An NPI identifies a provider in billing; it is not a license.

Where is Jacob Sampson, PT located?

The NPPES record lists a practice address at 5641 Crawfordsville RD, Indianapolis, IN, 46224. Phone: (317) 524-8570. Providers update this record themselves, so call before visiting.

How can I verify Jacob Sampson, PT's license?

NPPES lists Indiana license number 05015279A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.