Bernetta Sams

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2001-0689 Issued in WV

Practice address

203 S Jefferson St
Lewisburg, WV 24901-1316

Phone

(304) 667-2369

NPI assigned

Jun 20, 2016

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1558711663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 FERRIS VIEW DR",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249015002",
            "telephone_number": "304-667-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S JEFFERSON ST",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249011316",
            "telephone_number": "304-667-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMS",
        "first_name": "BERNETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WV",
            "license": "2001-0689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saco Bay Orthopaedic and Sports Physical Therapy, Inc.
• Augustus Saldana, LAC
• Tiffany Sampson
• Alicia Sams
• Austin Sams, DO
• Kelly Sams
• David F. Samsock, M.A.
• Belinda Rochelle Sanchez, LMT
• Dina Schaper, D.O.
• Deborah Schmidt, D.O.

• Massage Therapist in Lewisburg, WV
• Providers in Lewisburg, WV by specialty
• Massage Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.