Individual provider Active NPI

Samantha Palmer, DPT

  • Physical Therapist
  • Troy, AL
National Provider Identifier
1235664269
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH8287 Issued in AL
Practice address
100 Emma Dr
Troy, AL 36081-2585
Phone
(334) 670-5435
Fax
(334) 670-5234
NPI assigned
Apr 27, 2017
Last updated
Sep 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH8287 AL Primary

Addresses

Primary practice location

100 Emma Dr
Troy, AL 36081-2585

Mailing address

100 Emma Dr
Troy, AL 36081-2585
Phone (334) 670-5435

Other identifiers 1

IdentifierTypeStateIssuer
PTH8287OtherALALABAMA PT BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170821001870 AL Practitioner - Physical Therapist in Private Practice 8628340064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthactions of Troy, LLCGroup PAC ID 1759671845, 2 clinicians

Practice addresses (Care Compare)

100 Emma Dr
Troy, AL 36081-2585
Phone (334) 670-5435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthactions of Troy LLC Physical Therapist CurrentSince May 1, 2017 Accepting new patients

Locations

1711 College Ave
Jackson, AL 36545
Phone (251) 246-5761

100 Emma Dr
Troy, AL 36081
Phone (334) 670-5235

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1235664269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EMMA DR",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360812585",
            "telephone_number": "334-670-5435",
            "fax_number": "334-670-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EMMA DR",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360812585",
            "telephone_number": "334-670-5435",
            "fax_number": "334-670-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "SAMANTHA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA PT BOARD",
            "identifier": "PTH8287",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.