Samantha Jean-Dibbell Smith

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2841 Thousand Acres Rd
Delanson, NY 12053-1917

Phone

(518) 857-6141

NPI assigned

Aug 23, 2020

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

Other names 1

• Samantha Dibbell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599350400000",
    "number": "1104438878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 THOUSAND ACRES RD",
            "city": "DELANSON",
            "state": "NY",
            "postal_code": "120531917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 THOUSAND ACRES RD",
            "city": "DELANSON",
            "state": "NY",
            "postal_code": "120531917",
            "telephone_number": "518-857-6141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Henrietta Blvd",
            "address_purpose": "LOCATION",
            "city": "Amsterdam",
            "state": "NY",
            "postal_code": "120101111",
            "country_code": "US",
            "telephone_number": "518-843-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 North St",
            "address_purpose": "LOCATION",
            "city": "Cobleskill",
            "state": "NY",
            "postal_code": "120435139",
            "country_code": "US",
            "telephone_number": "518-234-8430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SAMANTHA",
        "middle_name": "JEAN-DIBBELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-23",
        "last_updated": "2020-09-06",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "DIBBELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Elizabeth Sexton, OTR/L
• Naomi Elizabeth Shaffer, LPN
• Rosemary Christiansen Shaw, CCC/SLP
• Melissa Singh, M.A.
• Lindsey Alisha Smith, MS, OTR/L
• Michelle Rebecca Snyder, MS ED.
• Alicia Sroczynski
• Jessica Stannard-Backus
• Deidre Ann Tarjick, OTA
• Beth M Taylor, OTR/L

• Physical Therapist in Delanson, NY
• Providers in Delanson, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.