Jomy Joy Samkutty, PT, MHA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1299080 Issued in TX

Practice address

1034 Liberty Park Dr
Austin, TX 78746-6891

Phone

(512) 328-3775

NPI assigned

Aug 22, 2018

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1467933010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 LIBERTY PARK DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466891",
            "telephone_number": "240-678-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 LIBERTY PARK DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466891",
            "telephone_number": "512-328-3775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 Park Bend Dr",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787585352",
            "country_code": "US",
            "telephone_number": "512-836-9777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMKUTTY",
        "first_name": "JOMY",
        "middle_name": "JOY",
        "credential": "PT, MHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012262",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1299080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Samarripa
• Sandra Melissa Samayoa, COTA
• Danny Sambola Jr., PHARMD
• Allison M Samford, RD
• Majid Samimi-Naraghi, D.C.
• Kathleen Sammann, LMFT-A
• Jillian Sampaio, RD
• Elizabeth Sampsell
• Michael Sampson, BCBA, LBA
• Sams East Inc

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.