Martha Sam, PTA

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Practice address

1203 Cleveland Ave
Suite 1 a
East Point, GA 30344-3417

Phone

(678) 361-7427

NPI assigned

Mar 28, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1700129798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 CLEVELAND AVE",
            "address_2": "SUITE 1 A",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443417",
            "telephone_number": "678-361-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 CLEVELAND AVE",
            "address_2": "SUITE 1 A",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443417",
            "telephone_number": "678-361-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAM",
        "first_name": "MARTHA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiela Cochran Ryan, RD
• Jordan Ryba, PHYSICIAN ASSISTANT
• Yssa Saaddine, MD
• Saeideh L Sadri, D.C.
• Carlyn Sainvil
• Kelly L Saunders, FNP
• Senior Elite Transportation and Activities
• Rhonda Serrette
• Mohamed Sey
• Jacquelyn B Sharitz, M.S, R.PH

• Comprehensive Outpatient Rehabilitation Facility (CORF) in East Point, GA
• Providers in East Point, GA by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.