Samantha Rae Powell, LAT, ATC, PES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT005507 Issued in PA

Practice address

107 Woodland Rd
Pittsburgh, PA 15232-2871

Phone

(412) 365-1470

Fax

(412) 365-1724

NPI assigned

Jun 10, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1265870422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 HOLLYWOOD ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152053432",
            "telephone_number": "330-573-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WOODLAND RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152322871",
            "telephone_number": "412-365-1470",
            "fax_number": "412-365-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "SAMANTHA",
        "middle_name": "RAE",
        "credential": "LAT, ATC, PES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT003924",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT005507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kele Powell
• Lucy Price Powell
• Matthew Powell
• Megan Powell
• Robert Powell, MS, ACSM-CES
• Stefanie Powell, RN
• Victoria M Powell, CPNP
• Power
• John A Power, MD
• Colin Powers, M.D.

• Athletic Trainer in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.