Active NPI
Jamie Samociuk
- Physical Therapist
- Farmington, CT
National Provider Identifier
1144985581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 012979
- Practice address
- 270 Farmington Ave Ste 152
Farmington, CT 06032-1926 - Phone
- (860) 677-6067
- Fax
- (860) 674-1095
- NPI assigned
- Nov 1, 2021
- 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 | 012979 | CT | Primary |
Addresses
Primary practice location
270 Farmington Ave Ste 152
Farmington, CT 06032-1926
Mailing address
270 Farmington Ave Ste 152
Farmington, CT 06032-1926
Phone (860) 677-6067
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 |
|---|---|---|---|
| 012979 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1144985581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 FARMINGTON AVE STE 152",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321926",
"telephone_number": "860-677-6067",
"fax_number": "860-674-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 FARMINGTON AVE STE 152",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321926",
"telephone_number": "860-677-6067",
"fax_number": "860-674-1095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMOCIUK",
"first_name": "JAMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-01",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "012979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.