Timothy Samms, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

60064080 Issued in WA

Practice address

25022 104TH Ave SE
Suite B
Kent, WA 98030-2822

Phone

(253) 856-0674

NPI assigned

Apr 9, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1174889646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110865",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984110865",
            "telephone_number": "646-884-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25022 104TH AVE SE",
            "address_2": "SUITE B",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980302822",
            "telephone_number": "253-856-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMS",
        "first_name": "TIMOTHY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "60064080",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "8678",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306603095",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fardeen Salihi
• Amy Lenae Salinas, DPT
• Heather L Salton, DPM
• Tahana Salvadalena, ARNP
• Richard Sam
• Justin Mbugua Samuel
• Carmen Yazmin Sanchez Rodriguez
• Johana Sanchez-Vidales, MA 60883016
• Constance J Sanchez, ND
• Jennifer Sanders

• Physical Therapy Assistant in Kent, WA
• Providers in Kent, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.