Active NPI
Samantha Hoover, DPT
- Physical Therapist
- Centralia, WA
National Provider Identifier
1770184962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 61512697
- Practice address
- 230 Washington Way
Centralia, WA 98531-9225 - Phone
- (360) 736-9178
- Fax
- (360) 736-8312
- NPI assigned
- Nov 4, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 61512697 | WA | Primary |
Addresses
Primary practice location
230 Washington Way
Centralia, WA 98531-9225
Mailing address
2610 Eureka Ave
Centralia, WA 98531-3618
Phone (608) 400-7576
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61512697 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1770184962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610 EUREKA AVE",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985313618",
"telephone_number": "608-400-7576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 WASHINGTON WAY",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985319225",
"telephone_number": "360-736-9178",
"fax_number": "360-736-8312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOVER",
"first_name": "SAMANTHA",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-04",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "61512697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.