Samantha Martin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA004056 Issued in GA

Practice address

114 College Ave Ste C
Elberton, GA 30635-1737

Phone

(706) 213-8506

NPI assigned

Oct 11, 2022

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• PJ Therapy Services, Inc.

  • Physical Therapist
  • Elberton, GA
  • NPI 1336342724
  NPD

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1700501863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 COLLEGE AVE STE C",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306351737",
            "telephone_number": "706-213-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 COLLEGE AVE STE C",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306351737",
            "telephone_number": "706-213-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SAMANTHA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA004056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Jay Lomant, MD PHD
• Eddie M Madden, R.PH.
• Maddens Pharmacy Inc (Maddens Pharmacy LTC)
• Maddens Pharmacy Inc
• Carl Mankiewicz, D.C.
• James Daniel McAvoy, MD
• Caron McDonald, LPC
• Roger David Mize, MD
• Suzanne Peers Moore, LISW-CP
• Nancy Hart Center for Nursing and Healing LLC

• Physical Therapy Assistant in Elberton, GA
• Providers in Elberton, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.