Individual provider Active NPI

Jennifer Samosky, DPT

  • Physical Therapist
  • Erie, PA
National Provider Identifier
1457040552
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT027732 Issued in PA
Practice address
4057 Buffalo Rd
Erie, PA 16510-2091
Phone
(814) 841-3830
Fax
(814) 841-3835
NPI assigned
May 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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 PT027732 PA Primary

Addresses

Primary practice location

4057 Buffalo Rd
Erie, PA 16510-2091

Mailing address

512 E Columbus Ave
Corry, PA 16407-9014
Phone (814) 664-9346

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

LicenseStateTypeSpecialty
PT027732PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Penn Therapeutics and Physical Therapy, Inc PastSince May 7, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1457040552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E COLUMBUS AVE",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164079014",
            "telephone_number": "814-664-9346",
            "fax_number": "814-663-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4057 BUFFALO RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165102091",
            "telephone_number": "814-841-3830",
            "fax_number": "814-841-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMOSKY",
        "first_name": "JENNIFER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.