Samantha Rose Carr, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126003127 Issued in VA

Practice address

10517 Braddock Rd Ste D
Fairfax, VA 22032-2275

Phone

(571) 351-5618

NPI assigned

May 18, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Jackson Clinics Limited Partnership

  • Physical Therapist
  • Centreville, VA
  • NPI 1639594831
  NPD

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1538782164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 PLANTATION PKWY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220301904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10517 BRADDOCK RD STE D",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220322275",
            "telephone_number": "571-351-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "SAMANTHA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126003127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Lynne Carnes, FNP-BC
• Carol L Piatt, MD, PC
• Andrea Michelle Carpenter, LPC
• Brenda D Carpenter, RPH
• Lindsey Carpenter, PT
• Amy Carrera, OTD, OTR/L
• Carriescare LLC
• Carrie Carroll
• Padmini Jacintha Carson, LPC
• Angela Carstens, PT

• Athletic Trainer in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.