Active NPI
Samuel Lee Echols, PT
- Physical Therapist
- Rome, GA
National Provider Identifier
1396741583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT004801
- Practice address
- 519 Broad St Ste 300
Rome, GA 30161-1736 - Phone
- (706) 346-6035
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT004801 | GA | Primary |
Addresses
Primary practice location
519 Broad St Ste 300
Rome, GA 30161-1736
Mailing address
PO Box 1975
Rome, GA 30162-1975
Phone (706) 346-6035
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000802645T,R,U,V,W,X | Medicaid | GA | |
| 000802645C,E,L,M,N,P | Medicaid | GA | |
| P00319887 | Other | GA | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT004801 | GA | MD | Physical Therapist |
| 004801 | GA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sixfourthree OT, LLC | Current | Accepting new patients | |
| Putnam Physical Therapy Services, LLC | Physical Therapist | Current | Accepting new patients |
| Southeastern Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Low Country Physical Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Physical Therapist
- Cookeville, TN
- NPI 1356984769
-
- Occupational Therapist
- Fairhope, AL
- NPI 1659185239
-
- Physical Therapist
- Murrells Inlet, SC
- NPI 1639102312
-
- Physical Therapist
- Asheville, NC
- NPI 1699791129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1396741583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1975",
"city": "ROME",
"state": "GA",
"postal_code": "301621975",
"telephone_number": "706-346-6035",
"fax_number": "866-858-7371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 BROAD ST STE 300",
"city": "ROME",
"state": "GA",
"postal_code": "301611736",
"telephone_number": "706-346-6035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECHOLS",
"first_name": "SAMUEL",
"middle_name": "LEE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT004801",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000802645T,R,U,V,W,X",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000802645C,E,L,M,N,P",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00319887",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.