Individual provider Active NPI

Samantha Maiden, P.T., M.S.ED.

  • Physical Therapist
  • Pineville, KY
National Provider Identifier
1699910570
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00001776 Issued in KY
Practice address
133 Henderson Church Road
Pineville, KY 40977-9134
Phone
(606) 347-2398
Fax
(606) 337-8232
NPI assigned
Dec 8, 2008
Last updated
May 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00001776 KY Primary

Addresses

Primary practice location

133 Henderson Church Road
Pineville, KY 40977-9134

Mailing address

PO Box 337
Frakes, KY 40940-0337
Phone (606) 347-2398

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00001776KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Centered Physical Therapy for Appalachia Inc. Physical Therapist CurrentSince Dec 18, 1997 Accepting new patients
Saint Joseph Health System, Inc. PastSince Sep 10, 2018 Accepting new patients
Danny Hamilton, II P.T. P.S.C Physical Therapist PastSince Apr 16, 2012 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1699910570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "FRAKES",
            "state": "KY",
            "postal_code": "409400337",
            "telephone_number": "606-347-2398",
            "fax_number": "606-337-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 HENDERSON CHURCH ROAD",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409779134",
            "telephone_number": "606-347-2398",
            "fax_number": "606-337-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIDEN",
        "first_name": "SAMANTHA",
        "credential": "P.T., M.S.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT00001776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.