Individual provider Active NPI

Samantha Coury, PTA

  • Physical Therapy Assistant
  • Louisville, KY
National Provider Identifier
1851994784
Registry record updated Nov 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A03199 Issued in KY
Practice address
446 Mount Holly Ave
Louisville, KY 40206-2125
Phone
(502) 897-1646
Fax
(502) 897-7317
NPI assigned
Nov 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A03199 KY Primary

Addresses

Primary practice location

446 Mount Holly Ave
Louisville, KY 40206-2125

Mailing address

7407 Covey PL
Louisville, KY 40291-1882
Phone (606) 344-0495

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A03199KYMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1606003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606003200000",
    "number": "1851994784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7407 COVEY PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402911882",
            "telephone_number": "606-344-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 MOUNT HOLLY AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062125",
            "telephone_number": "502-897-1646",
            "fax_number": "502-897-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURY",
        "first_name": "SAMANTHA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-22",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A03199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.