Samantha Yarc, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

013058 Issued in GA

Practice address

2850 Johnson Ferry Rd Ste 100
Marietta, GA 30062-5684

Phone

(770) 643-0868

Fax

(770) 643-0869

NPI assigned

Nov 3, 2017

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": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1356853931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670207",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300660121",
            "telephone_number": "770-643-0868",
            "fax_number": "770-643-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 JOHNSON FERRY RD STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625684",
            "telephone_number": "770-643-0868",
            "fax_number": "770-643-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARC",
        "first_name": "SAMANTHA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "013058",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1317282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aliya Yamin, MD
• Alecia Yancey, LDO
• Susan Eileen Yandel, N.P.
• Michael Y Yang, DMD
• Xiwei Yang
• Caitlin Mary Yarde
• Edgar W. Yates Jr., DDS
• Kelli Rose Yates, RDN, LD
• Ashkan Yazdanpanah, DO
• Jessica Yeager, MS CCC-SLP

• Pediatric Physical Therapist in Marietta, GA
• Providers in Marietta, GA by specialty
• Pediatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.