Samantha M Sagraves, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2018009784 Issued in MO

Practice address

1405 N Mt Auburn Rd
Cape Girardeau, MO 63701-2171

Phone

(513) 335-7868

Fax

(513) 335-8193

NPI assigned

Mar 11, 2020

Last updated

Mar 31, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Premier Physical Therapy & Rehab, LLC.

  • Physical Therapist
  • Cape Girardeau, MO
  • NPI 1689605867
  NPD

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1083249833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 N MT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012171",
            "telephone_number": "513-335-7868",
            "fax_number": "513-335-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 N MT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012171",
            "telephone_number": "513-335-7868",
            "fax_number": "513-335-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGRAVES",
        "first_name": "SAMANTHA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2018009784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S & R Anesthesia Services Inc
• Robert F. Sacha, D. O.
• Marc A Sachs, MD
• Katherine Evelyn Sackett
• Afraica Renee Sager
• Saint Francis Medical Center
• Saint Francis Medical Center (Saint Francis Hospice)
• Saint Francis Medical Center (Saint Francis Clinic Cape Girardeau Kingshighway)
• Saint Francis Medical Center (Healing Arts & Specialty Pharmacy)
• Saint Francis Medical Center (Thoracic and Cardiovascular Surgery)

• Physical Therapy Assistant in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.