Samantha Gannaway, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4663 Issued in AR

Practice address

101 Sammy Farrell Rd
MC Gehee, AR 71654-9770

Phone

(870) 877-1675

NPI assigned

Sep 28, 2021

Last updated

Sep 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1205507399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SAMMY FARRELL RD",
            "city": "MC GEHEE",
            "state": "AR",
            "postal_code": "716549770",
            "telephone_number": "870-877-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SAMMY FARRELL RD",
            "city": "MC GEHEE",
            "state": "AR",
            "postal_code": "716549770",
            "telephone_number": "870-877-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNAWAY",
        "first_name": "SAMANTHA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "4663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4663",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smchristmas@att.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "168 College St",
            "city": "Monticello",
            "state": "AR",
            "country_code": "US",
            "postal_code": "71655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janet E Finley, RN
• Brianna D Forrest
• Natasha Dunta Franklin, MHPP
• Ali French, PHARM D
• Michael Anthony French Jr., DDS
• Ggnsc McGehee LLC (Golden LivingCenter - McGehee)
• Gilead Family Resource Center Inc
• Hands on Rehab Services, PLLC
• Sherri Hargraves, RN
• Jennifer Joy Harrison

• Physical Therapy Assistant in McGehee, AR
• Providers in McGehee, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.