Active NPI
Samantha E Brown, PTA, CSCS
- Physical Therapy Assistant
- Castle Pines, CO
National Provider Identifier
1619704665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA14639
- Practice address
- 7280 Lagae Rd Ste E&F
Castle Pines, CO 80108-9452 - Phone
- (720) 523-8460
- NPI assigned
- Sep 16, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA33048 | FL | |
| Physical Therapy Assistant | 225200000X | PTA14639 | CO | Primary |
Addresses
Primary practice location
7280 Lagae Rd Ste E&F
Castle Pines, CO 80108-9452
Mailing address
194 Vista Cliff Cir
Castle Rock, CO 80104-5526
Phone (303) 859-9109
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 |
|---|---|---|---|
| PTA14639 | CO | MD | Physical Therapy Assistant |
| PTA33048 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1619704665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 VISTA CLIFF CIR",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801045526",
"telephone_number": "303-859-9109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7280 LAGAE RD STE E&F",
"city": "CASTLE PINES",
"state": "CO",
"postal_code": "801089452",
"telephone_number": "720-523-8460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "SAMANTHA",
"middle_name": "E",
"credential": "PTA, CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-16",
"last_updated": "2024-09-16",
"certification_date": "2024-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA33048",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CO",
"license": "PTA14639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castle Pines, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.