Samantha N May, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

61035785 Issued in WA

Practice address

9612 270TH St NW Ste 103
Stanwood, WA 98292-1911

Phone

(425) 429-8320

Fax

(360) 658-0508

NPI assigned

Jan 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha Wallace Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Stanwood-Camano Physical Therapy, PLLC

  • Physical Therapist
  • Stanwood, WA
  • NPI 1083721872
  NPD
• Physiotherapy Assoicates, Inc.

  • Physical Therapy Clinic/Center
  • Norfolk, VA
  • NPI 1629713102
  NPD (past)

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1306434063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9612 270TH ST NW STE 103",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982921911",
            "telephone_number": "360-629-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9612 270TH ST NW STE 103",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982921911",
            "telephone_number": "425-429-8320",
            "fax_number": "360-658-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAY",
        "first_name": "SAMANTHA",
        "middle_name": "N",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "61035785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "WALLACE",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Martonick, MD
• Mash Therapy PLLC
• Massage by Kelsey
• David Mattioli, RN
• Nancy Louise Maurer, LMP
• Maryann Maya-Kridler, PTA, HCA
• Celeste Helen McClannahan, LMFTA
• Ann G McCune, RN
• Douglas J McDugle, D.C.
• Catherine McGuire, RPH

• Physical Therapy Assistant in Stanwood, WA
• Providers in Stanwood, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.