Active NPI
Samantha Nichole Robert, LPTA
- Physical Therapy Assistant
- Fort Eustis, VA
National Provider Identifier
1003144460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306602749
- Practice address
- 576 Jefferson Ave
McDonald Army Health Center
Fort Eustis, VA 23604-5548 - Phone
- (757) 314-7616
- NPI assigned
- Nov 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306602749 | VA | Primary |
Addresses
Primary practice location
576 Jefferson Ave
McDonald Army Health Center
Fort Eustis, VA 23604-5548
Mailing address
205 Glen Echo Dr
Norfolk, VA 23505-4117
Phone (757) 314-7666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2306602749 | VA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259020800000",
"number": "1003144460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 GLEN ECHO DR",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235054117",
"telephone_number": "757-314-7666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 JEFFERSON AVE",
"address_2": "MCDONALD ARMY HEALTH CENTER",
"city": "FORT EUSTIS",
"state": "VA",
"postal_code": "236045548",
"telephone_number": "757-314-7616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERT",
"first_name": "SAMANTHA",
"middle_name": "NICHOLE",
"name_prefix": "Ms.",
"credential": "LPTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-24",
"last_updated": "2009-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306602749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Eustis, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.