Individual provider Active NPI

Samantha Joelle King, DPT

  • Physical Therapist
  • Bel Air, MD
National Provider Identifier
1316397789
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25997 Issued in MD
Practice address
620 W Macphail Rd
Suite 105
Bel Air, MD 21014-4474
Phone
(410) 399-9590
Fax
(410) 399-9591
NPI assigned
Jun 16, 2016
Last updated
Jun 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25997 MD Primary

Addresses

Primary practice location

620 W Macphail Rd
Suite 105
Bel Air, MD 21014-4474

Mailing address

3455 Highway 81
Loganville, GA 30052-9138
Phone (770) 554-0665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160713000727 MD Practitioner - Physical Therapist in Private Practice 1355633298 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Health Physical Therapy at Home, LLC. Physical Therapist CurrentSince Nov 13, 2023 Accepting new patients
Medstar Health Physical Therapy at Home, LLC. Physical Therapist CurrentSince Nov 13, 2023 Accepting new patients
National Rehabilitation Hospital, Inc. Physical Therapist Past Accepting new patients

Locations

10980 Grantchester Way
Columbia, MD 21044
Phone (410) 772-6500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1316397789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 HIGHWAY 81",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300529138",
            "telephone_number": "770-554-0665",
            "fax_number": "770-554-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W MACPHAIL RD",
            "address_2": "SUITE 105",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144474",
            "telephone_number": "410-399-9590",
            "fax_number": "410-399-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SAMANTHA",
        "middle_name": "JOELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.