Active NPI
Samantha Anne Myers, DPT
- Physical Therapist
- Mooresville, NC
National Provider Identifier
1730554635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P21318
- Practice address
- 114 Welton Way
Suite B
Mooresville, NC 28117-9251 - Phone
- (704) 660-6551
- Fax
- (704) 660-9894
- NPI assigned
- Dec 3, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physical Therapist | 225100000X | P21318 | NC | Primary |
Addresses
Primary practice location
114 Welton Way
Suite B
Mooresville, NC 28117-9251
Mailing address
114 Welton Way
Suite B
Mooresville, NC 28117-9251
Phone (704) 660-6551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
114 Welton Way
Suite B
Mooresville, NC 28117-9251
Phone (704) 660-6551
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.67 of 100
- Quality
- 86.14
- Improvement activities
- 40
- Cost
- 74.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P21318 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylor Rehab Inc | Physical Therapist | Current | Accepting new patients |
| Complete Rehabilitation and Sports Physical Therapy, PC | Physical Therapist | Past | Accepting new patients |
Locations
114 Welton Way
Ste B
Mooresville, NC 28117
Phone (704) 660-6551
167 Gateway Blvd
Mooresville, NC 28117
Phone (704) 658-1095
Organizations & group practices 2
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.
-
- Physical Therapist
- Mooresville, NC
- NPI 1215977160
-
- Physical Therapist
- Ronkonkoma, NY
- NPI 1811097306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1730554635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 WELTON WAY",
"address_2": "SUITE B",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281179251",
"telephone_number": "704-660-6551",
"fax_number": "704-660-9894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 WELTON WAY",
"address_2": "SUITE B",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281179251",
"telephone_number": "704-660-6551",
"fax_number": "704-660-9894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "SAMANTHA",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-03",
"last_updated": "2022-10-21",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P21318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.