Lindsy Sammarco
Individual provider Active NPI Physical Therapist · Patton, PA
NPI 1639618622 · NPPES record last updated Feb 23, 2017
Key facts
- NPI
- 1639618622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT025820 (PA)
- Practice address
- 219 Mellon Ave
Patton, PA 16668-1732 - Phone
- (814) 674-3663
- NPI assigned
- Feb 23, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Drayer Physical Therapy Institute LLC
Practice addresses (Care Compare)
192 Newberry Pkwy
Etters, PA 17319-8968
Phone (717) 212-2470
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241018002252 | PA | Practitioner - Physical Therapist in Private Practice | 3678005337 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT025820 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Institute LLC | Physical Therapist | Current |
Accepting new patients |
| Drayer Physical Therapy Institute LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
192 Newberry Pkwy
Etters, PA 17319
Phone (717) 212-2470
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT025820 | PA | Yes |
Addresses
Primary practice location
219 Mellon Ave
Patton, PA 16668-1732
Mailing address
219 Mellon Ave
Patton, PA 16668-1732
Phone (814) 674-3663
Other providers in Patton, PA
- Megan Melissa Roberts
- RP-PRN Inc
- Russell Miller MD Family Practice PC
- Rxvip PA LLC
- Rxvip PA LLC
- Jennifer Stich
- Renae A Stoskey
- Rhonda Ann Wendekier
All providers in Patton, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.