Active NPI
Samiat Bisola Tumasang, DPT
- Physical Therapist
- Frederick, MD
National Provider Identifier
1184748048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24046
- Practice address
- 2127 Brigade Cir
Frederick, MD 21702-2514 - Phone
- (757) 218-9831
- NPI assigned
- Mar 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 2305204824 | VA | |
| Physical Therapist | 225100000X | 24046 | MD | Primary |
Addresses
Primary practice location
2127 Brigade Cir
Frederick, MD 21702-2514
Mailing address
2127 Brigade Cir
Frederick, MD 21702-2514
Phone (757) 218-9831
Other names 1
- Samiat Bisola Brown
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 |
|---|---|---|---|
| 24046 | MD | MD | Clinical Social Worker |
| 2305204824 | VA | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1184748048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2127 BRIGADE CIR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217022514",
"telephone_number": "757-218-9831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2127 BRIGADE CIR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217022514",
"telephone_number": "757-218-9831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUMASANG",
"first_name": "SAMIAT",
"middle_name": "BISOLA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-18",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "VA",
"license": "2305204824",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "24046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMIAT",
"last_name": "BROWN",
"middle_name": "BISOLA",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.