Justin M Sampley, PT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

8092 Issued in AZ

Practice address

425 E Pinnacle Peak Rd
Phoenix, AZ 85024-5657

Phone

(602) 283-3360

Fax

(602) 283-3361

NPI assigned

May 12, 2006

Last updated

Nov 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Pinnacle Sports Therapy LLC.

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
  • NPI 1811439029
  Authorized official Same address or phone

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1275584567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E PINNACLE PEAK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850245657",
            "telephone_number": "602-283-3360",
            "fax_number": "602-283-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E PINNACLE PEAK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850245657",
            "telephone_number": "602-283-3360",
            "fax_number": "602-283-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPLEY",
        "first_name": "JUSTIN",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "AZ",
            "license": "8092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A. Samela, RNFA
• Sameti MD PLC
• Alexis Samora, RBT
• Joshua Paul Sample, PT, DPT
• Edward Clark Samples, D.D.S.
• Shannon Sampley
• Lisa Kim Sampsell, LCSW LISAC
• Ann L Sampson
• Karen Sampson
• Nehal Singh Samra, MD

• Sports Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Sports Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.