NPIMap

Individual provider Active NPI

Samantha Marie Klumpp, PA

  • Physician Assistant
  • Wyomissing, PA
National Provider Identifier
1063239747
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA066035 Issued in PA
Practice address
850 Knitting Mills Way
Wyomissing, PA 19610-3010
Phone
(610) 376-8671
Fax
(610) 376-6387
NPI assigned
Sep 24, 2024
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA066035 PA Primary

Addresses

Primary practice location

850 Knitting Mills Way
Wyomissing, PA 19610-3010

Mailing address

850 Knitting Mills Way
Wyomissing, PA 19610-3010
Phone (610) 376-8671

Other practice location 1

4885 DeMoss Rd Ste 102
Reading, PA 19606-9024
Phone (610) 376-8671 ext. 289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021003470 PA Practitioner - Physician Assistant 4981136561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

4885 Demoss Rd
Suite 102
Reading, PA 19606-9024
Phone (610) 376-8671

850 Knitting Mills Way
Wyomissing, PA 19610-3010
Phone (610) 376-8971

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates of Reading LTD CurrentSince Nov 11, 2024 Accepting new patients

Locations

4885 Demoss Rd
Ste 102
Reading, PA 19606
Phone (610) 370-9980

850 Knitting Mills Way
Wyomissing, PA 19610
Phone (610) 376-8671

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1063239747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 KNITTING MILLS WAY",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103010",
            "telephone_number": "610-376-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 KNITTING MILLS WAY",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103010",
            "telephone_number": "610-376-8671",
            "fax_number": "610-376-6387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4885 DeMoss Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196069024",
            "country_code": "US",
            "telephone_number": "610-376-8671 x289",
            "fax_number": "610-376-6387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLUMPP",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA066035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.