Active NPI
Samantha York, PT, DPT
- Physical Therapist
- Troy, MO
National Provider Identifier
1043791783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2018036204
- Practice address
- 108 Professional Pkwy
Troy, MO 63379-2823 - Phone
- (228) 265-2634
- NPI assigned
- Aug 21, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2018036204 | MO | Primary |
| Physical Therapist | 225100000X | 1310193 | TX |
Addresses
Primary practice location
108 Professional Pkwy
Troy, MO 63379-2823
Mailing address
1091 Braungardt LN
Moscow Mills, MO 63362-2345
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018036204 | MO | MD | Physical Therapist |
| 1310193 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1043791783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1091 BRAUNGARDT LN",
"city": "MOSCOW MILLS",
"state": "MO",
"postal_code": "633622345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 PROFESSIONAL PKWY",
"city": "TROY",
"state": "MO",
"postal_code": "633792823",
"telephone_number": "228-265-2634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YORK",
"first_name": "SAMANTHA",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-21",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2018036204",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1310193",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.