Active NPI
Sumer Samhoury, MSPT, DPT, PRPC, WCS
- Physical Therapist
- Tampa, FL
National Provider Identifier
1104151687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT32980
- Practice address
- 609 S Armenia Ave
Tampa, FL 33609-4123 - Phone
- (813) 742-5986
- NPI assigned
- Oct 16, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT32980 | FL | |
| Physical Therapist | 225100000X | PT32980 | FL | Primary |
Addresses
Primary practice location
609 S Armenia Ave
Tampa, FL 33609-4123
Mailing address
18382 Aylesbury LN
Land O Lakes, FL 34638-8161
Phone (917) 450-4854
Other practice location 1
13330 Usf Laurel Dr
Tampa, FL 33612-6601
Phone (813) 974-2201
Other practice location 2
23 Borg Ct
Staten Island, NY 10302-2011
Phone (917) 805-8367
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107807000 | Medicaid | FL | |
| Y911W | Other | FL | BLUE CROSS BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ssamhoury176102@direct.tgh.org |
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 |
|---|---|---|---|
| PT32980 | FL | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients |
Interoperability endpoints
- ssamhoury176102@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1104151687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18382 AYLESBURY LN",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346388161",
"telephone_number": "917-450-4854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 S ARMENIA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336094123",
"telephone_number": "813-742-5986"
}
],
"practiceLocations": [
{
"address_1": "13330 Usf Laurel Dr",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336126601",
"country_code": "US",
"telephone_number": "813-974-2201",
"fax_number": "813-974-2812",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23 Borg Ct",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103022011",
"country_code": "US",
"telephone_number": "917-805-8367",
"fax_number": "718-981-2983",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMHOURY",
"first_name": "SUMER",
"credential": "MSPT, DPT, PRPC, WCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-16",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "PT32980",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT32980",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107807000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y911W",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ssamhoury176102@direct.tgh.org",
"affiliation": "N",
"address_1": "13330 Usf Laurel Dr",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336126601",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.