Active NPI
Samantha Amber Keller Schick, PT, DPT, CPT
- Physical Therapist
- Cincinnati, OH
National Provider Identifier
1265009393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2332
- Practice address
- 5400 Kennedy Ave
Cincinnati, OH 45213 - Phone
- (513) 618-7878
- Fax
- (513) 618-7888
- NPI assigned
- Jun 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2332 | OH | Primary |
Addresses
Primary practice location
5400 Kennedy Ave
Cincinnati, OH 45213
Mailing address
5400 Kennedy Ave Ste 1
Cincinnati, OH 45213-2665
Phone (513) 618-7878
Other practice location 1
5026 Delhi Rd
Cincinnati, OH 45238-5399
Phone (513) 922-5600
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770707671 | Other | OH | ANTHEM |
| 1770707671 | Other | OH | HUMANA |
| 0480132 | Medicaid | OH | |
| 1770707671 | Other | OH | SHEAKLEY |
| 1770707671 | Other | OH | UNITED HEALTH CARE |
| 1770707671 | Other | OH | TRICARE |
| 1770707671 | Other | OH | UNITED MEDICAL RESOURCES |
| 1770707671 | Other | OH | SEDGWICK |
| 1770707671 | Other | OH | AMERICAN SPECIALTY HEALTH |
| 1770707671 | Other | OH | 3-HAB |
| 1770707671 | Other | OH | CAQH |
| 1770707671 | Other | OH | PROMEDICA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | samantha.schick@fyzical.com | Direct | Howell Rehabilitation Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
224 W Olentangy St
Powell, OH 43065-8433
Phone (614) 872-2800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2332 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greentree Wellness, LLC | Physical Therapist | Current | Accepting new patients |
Locations
224 W Olentangy St
Powell, OH 43065
Phone (614) 460-9507
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1265009393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 KENNEDY AVE STE 1",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452132665",
"telephone_number": "513-618-7878",
"fax_number": "513-618-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 KENNEDY AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45213",
"telephone_number": "513-618-7878",
"fax_number": "513-618-7888"
}
],
"practiceLocations": [
{
"address_1": "5026 Delhi Rd",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452385399",
"country_code": "US",
"telephone_number": "513-922-5600",
"fax_number": "513-922-1027",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHICK",
"first_name": "SAMANTHA",
"middle_name": "AMBER KELLER",
"credential": "PT, DPT, CPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-08",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT2332",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "1770707671",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "1770707671",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0480132",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHEAKLEY",
"identifier": "1770707671",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1770707671",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1770707671",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED MEDICAL RESOURCES",
"identifier": "1770707671",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SEDGWICK",
"identifier": "1770707671",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPECIALTY HEALTH",
"identifier": "1770707671",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "3-HAB",
"identifier": "1770707671",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "1770707671",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROMEDICA",
"identifier": "1770707671",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "samantha.schick@fyzical.com",
"affiliation": "Y",
"endpointDescription": "email address",
"affiliationName": "Howell Rehabilitation Inc",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "address",
"address_1": "5400 Kennedy Ave",
"city": "Cincinnati",
"state": "OH",
"country_code": "US",
"postal_code": "452132664",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.