Active NPI
Jenny Sampras, DPT
- Physical Therapist
- Rockville, MD
National Provider Identifier
1144945841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29162
- Practice address
- 6001 Montrose Rd
Rockville, MD 20852-4817 - Phone
- (301) 984-6594
- NPI assigned
- Oct 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 29162 | MD | Primary |
Addresses
Primary practice location
6001 Montrose Rd
Rockville, MD 20852-4817
Mailing address
1119 W 17TH St Apt 3F
Chicago, IL 60608-2452
Phone (847) 431-1810
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29162 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1144945841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 W 17TH ST APT 3F",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606082452",
"telephone_number": "847-431-1810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 MONTROSE RD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524817",
"telephone_number": "301-984-6594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPRAS",
"first_name": "JENNY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-05",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "29162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.