Active NPI
Samantha Carolyn Stearns, PTA
- Physical Therapy Assistant
- Mooresville, NC
National Provider Identifier
1588040620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A5717
- Practice address
- 514 Williamson Rd Ste 431
Mooresville, NC 28117-9227 - Phone
- (704) 360-2595
- Fax
- (704) 360-2596
- NPI assigned
- Jul 30, 2015
- Last updated
- Jul 30, 2015
- 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 | A5717 | NC | Primary |
Addresses
Primary practice location
514 Williamson Rd Ste 431
Mooresville, NC 28117-9227
Mailing address
21300 Nautique Blvd
Apt #303
Cornelius, NC 28031-6414
Phone (704) 236-4200
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 |
|---|---|---|---|
| A5717 | NC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K-2 Healthcare Consulting | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Mooresville, NC
- NPI 1649568676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438214400000",
"number": "1588040620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21300 NAUTIQUE BLVD",
"address_2": "APT #303",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280316414",
"telephone_number": "704-236-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 WILLIAMSON RD STE 431",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281179227",
"telephone_number": "704-360-2595",
"fax_number": "704-360-2596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEARNS",
"first_name": "SAMANTHA",
"middle_name": "CAROLYN",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-30",
"last_updated": "2015-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A5717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.