Active NPI
Samantha Grams, PT
- Physical Therapist
- St Charles, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.022403
- Practice address
- 333 N Randall Rd
St Charles, IL 60174-1573 - Phone
- (312) 223-3800
- NPI assigned
- Jul 27, 2016
- 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 | 070.022403 | IL | Primary |
Addresses
Primary practice location
333 N Randall Rd
St Charles, IL 60174-1573
Mailing address
4N970 E Mary Dr
St Charles, IL 60175-5533
Phone (708) 522-2336
Other practice location 1
400 E Hillcrest Dr
Ste 110
Dekalb, IL 60115-2480
Phone (815) 758-5508
Other practice location 2
725 6th St
Clarkston, WA 99403-2006
Phone (509) 758-8510
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 |
|---|---|---|---|
| 070.022403 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knelsen Twin Rivers Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Athletes Place, PLLC | Current | Accepting new patients |
Locations
333 N Randall Rd
St Charles, IL 60174
Phone (312) 223-3800
725 6th St
Ste 101
Clarkston, WA 99403
Phone (509) 758-8510
725 6th St
Clarkston, WA 99403
Phone (509) 758-8510
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 Therapy Clinic/Center
- St Charles, IL
- NPI 1932844826
-
- Physical Therapist
- Clarkston, WA
- NPI 1013669852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651622400000",
"number": "1821541749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4N970 E MARY DR",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601755533",
"telephone_number": "708-522-2336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N RANDALL RD",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601741573",
"telephone_number": "312-223-3800"
}
],
"practiceLocations": [
{
"address_1": "400 E Hillcrest Dr",
"address_2": "STE 110",
"address_purpose": "LOCATION",
"city": "Dekalb",
"state": "IL",
"postal_code": "601152480",
"country_code": "US",
"telephone_number": "815-758-5508",
"fax_number": "815-758-5537",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 6th St",
"address_purpose": "LOCATION",
"city": "Clarkston",
"state": "WA",
"postal_code": "994032006",
"country_code": "US",
"telephone_number": "509-758-8510",
"fax_number": "509-751-9149",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAMS",
"first_name": "SAMANTHA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-27",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.022403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.