Active NPI
Samantha Kate Dmitruk, PTA
- Physical Therapy Assistant
- Dublin, OH
National Provider Identifier
1407720360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA013666
- Practice address
- 6099 Riverside Dr Ste 207
Dublin, OH 43017-2004 - Phone
- (419) 302-9283
- NPI assigned
- Oct 2, 2025
- Sex
- Female
- 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 Therapy Assistant | 225200000X | PTA013666 | OH | Primary |
Addresses
Primary practice location
6099 Riverside Dr Ste 207
Dublin, OH 43017-2004
Mailing address
13190 Avon Belden Rd
Grafton, OH 44044-9428
Phone (419) 302-9283
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA013666 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1407720360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13190 AVON BELDEN RD",
"city": "GRAFTON",
"state": "OH",
"postal_code": "440449428",
"telephone_number": "419-302-9283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6099 RIVERSIDE DR STE 207",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430172004",
"telephone_number": "419-302-9283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DMITRUK",
"first_name": "SAMANTHA",
"middle_name": "KATE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-02",
"last_updated": "2025-10-02",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA013666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.