Individual provider Active NPI

Stacy Alice Samano, PT

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1154462794
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7477 Issued in AZ
Practice address
8115 E Indian Bend Rd
Suite 123
Scottsdale, AZ 85250-4819
Phone
(480) 951-6451
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7477 AZ Primary
Physical Therapist 225100000X PT 18221 CA

Addresses

Primary practice location

8115 E Indian Bend Rd
Suite 123
Scottsdale, AZ 85250-4819

Mailing address

922 E Powell Way
Chandler, AZ 85249-3018
Phone (480) 459-5112

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

LicenseStateTypeSpecialty
7477AZMDPhysical Therapist
PT 18221CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154462794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 E POWELL WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852493018",
            "telephone_number": "480-459-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 E INDIAN BEND RD",
            "address_2": "SUITE 123",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852504819",
            "telephone_number": "480-951-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMANO",
        "first_name": "STACY",
        "middle_name": "ALICE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7477",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 18221",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.