Active NPI
Samantha Lee Thorman, PTA
- Physical Therapy Assistant
- San Antonio, TX
National Provider Identifier
1598522609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2162450
- Practice address
- 400 Concord Plaza Dr Ste 300
San Antonio, TX 78216-6991 - Phone
- (210) 804-5911
- Fax
- (210) 582-2692
- NPI assigned
- Mar 5, 2024
- 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 | 2162450 | TX | Primary |
Addresses
Primary practice location
400 Concord Plaza Dr Ste 300
San Antonio, TX 78216-6991
Mailing address
1550 Thousand Oaks Dr Apt 819
San Antonio, TX 78232-2378
Phone (956) 244-5228
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 |
|---|---|---|---|
| 2162450 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1598522609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 THOUSAND OAKS DR APT 819",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782322378",
"telephone_number": "956-244-5228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CONCORD PLAZA DR STE 300",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782166991",
"telephone_number": "210-804-5911",
"fax_number": "210-582-2692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORMAN",
"first_name": "SAMANTHA",
"middle_name": "LEE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-05",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2162450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.