Samantha Zrada

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT026550 Issued in PA

Practice address

1806 Swamp Pike Ste 100
Gilbertsville, PA 19525-9307

Phone

(610) 327-2600

Fax

(610) 327-9050

NPI assigned

Dec 12, 2017

Last updated

Jan 23, 2020By the provider in NPPES

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

Other names 1

• Samantha Joann Veccia Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1720593858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 SWAMP PIKE STE 100",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195259307",
            "telephone_number": "610-327-2600",
            "fax_number": "610-327-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 SWAMP PIKE STE 100",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195259307",
            "telephone_number": "610-327-2600",
            "fax_number": "610-327-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZRADA",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "VECCIA",
            "middle_name": "JOANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katiemarie Gale Vottero, DO
• Edward T Wagner III, LPC
• Gena Nicole Williams, PA-C
• Jennifer L Zerfass, O.D.
• Alyssa Ziegler, MA, BCBA, LBS, LPC

• Physical Therapist in Gilbertsville, PA
• Providers in Gilbertsville, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.