NPIMap

Individual provider Active NPI

Samantha Nicole Terry, PA

  • Physician Assistant
  • Wyomissing, PA
National Provider Identifier
1316597628
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061047 Issued in PA
Practice address
Orthopaedic Associates of Reading
850 Knitting Mills Way
Wyomissing, PA 19610-3010
Phone
(610) 376-8671
Fax
(610) 376-6387
NPI assigned
Sep 18, 2019
Last updated
Mar 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA005011 PA
Physician Assistant 363A00000X MA061047 PA Primary

Addresses

Primary practice location

Orthopaedic Associates of Reading
850 Knitting Mills Way
Wyomissing, PA 19610-3010

Mailing address

Orthopaedic Associates of Reading
850 Knitting Mills Way
Wyomissing, PA 19610-3010
Phone (610) 376-8671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191125000786 PA Practitioner - Physician Assistant 0345672739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

2758 Century Blvd
Suite 2
Wyomissing, PA 19610-3358
Phone (610) 376-5646

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.46 of 100Reported as group
Quality
74.29
Promoting interoperability
95
Improvement activities
40
Cost
74.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA061047PAMDPhysician Assistant
OA005011PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Orthopaedic Specialists LLC CurrentSince Oct 7, 2024 Accepting new patients
Keystone Orthopaedic Specialists LLC CurrentSince Oct 7, 2024 Accepting new patients

Locations

11 Fairlane Rd
Reading, PA 19606
Phone (610) 378-8810

4885 Demoss Rd
Ste 102
Reading, PA 19606
Phone (610) 370-9980

2607 Keiser Blvd
Ste 200
Wyomissing, PA 19610
Phone (484) 509-0840

2758 Century Blvd
Ste 2
Wyomissing, PA 19610
Phone (610) 376-5646

Interoperability endpoints

  • Direct secure messaging: samantha.terry.1@2277.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1316597628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ORTHOPAEDIC ASSOCIATES OF READING",
            "address_2": "850 KNITTING MILLS WAY",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103010",
            "telephone_number": "610-376-8671",
            "fax_number": "610-376-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ORTHOPAEDIC ASSOCIATES OF READING",
            "address_2": "850 KNITTING MILLS WAY",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103010",
            "telephone_number": "610-376-8671",
            "fax_number": "610-376-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "SAMANTHA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA005011",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.