Active NPI
Samantha Fuhrmann
- Physical Therapy Assistant
- Knoxville, TN
National Provider Identifier
1639636145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 6921
- Practice address
- Beverly Park Place Health and Rehab
5321 Beverly Park Circle
Knoxville, TN 37918 - Phone
- (865) 687-1321
- NPI assigned
- Feb 21, 2019
- 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 | 6921 | TN | Primary |
Addresses
Primary practice location
Beverly Park Place Health and Rehab
5321 Beverly Park Circle
Knoxville, TN 37918
Mailing address
421 Wildcat Way Apt 206
Knoxville, TN 37918-5549
Phone (920) 371-9215
Other names 1
- Samantha Daul
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1639636145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 WILDCAT WAY APT 206",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379185549",
"telephone_number": "920-371-9215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BEVERLY PARK PLACE HEALTH AND REHAB",
"address_2": "5321 BEVERLY PARK CIRCLE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37918",
"telephone_number": "865-687-1321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUHRMANN",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-21",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "6921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "DAUL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.