Samuel Jewell

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

27500 102ND Ave NW
Stanwood, WA 98292-8092

Phone

(360) 629-7528

NPI assigned

Aug 7, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NSPT IncGroup PAC ID 5698850295, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• NSPT, Inc.

  • Physical Therapy Clinic/Center
  • Stanwood, WA
  • NPI 1336326198

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• NSPT, Inc.

  • Physical Therapy Clinic/Center
  • Snohomish, WA
  • NPI 1457063984

  Physical Therapist

  NPD

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1265042840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27500 102ND AVE NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27500 102ND AVE NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928092",
            "telephone_number": "360-629-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWELL",
        "first_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janette A Isaacson
• Isabel Islas, MSW, LSWAIC
• Shelby Michaela Janes, MS, LAT, ATC, CSCS
• Marci Jennings, LMT
• Connie Jensen, LMP
• Joel P. Gardner, DMD, PS
• Karie Lynn Johnson, PHARMACY TECHNICIAN
• Terra P Johnson, LMHC
• Joanne Jornales, CAAR
• Joseph Eidsness, DDS, PLLC

• Physical Therapist in Stanwood, WA
• Providers in Stanwood, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.