Samantha Ross

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5429 Issued in TN

Practice address

272 Gardner Lane
Jacksboro, TN 37757

Phone

(423) 201-1254

NPI assigned

Jul 14, 2014

Last updated

Jul 14, 2014By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1861809642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 GARDNER LN",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377573908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 GARDNER LANE",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "37757",
            "telephone_number": "423-201-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "5429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geraldine Rivera Matos
• Roane Pharmacy Inc (Union Pharmacy)
• Thomas Wayne Robbins, DO
• April D Rodriguez, FNP
• Linda Ross, LPN
• Amy Schoenthaler, FNP-C
• Services, Inc
• Angela Rebecca Shears, NP
• Monica Grace Shoopman, MSN, FNP-C.
• John Wesley Smiddy, NP

• Physical Therapy Assistant in Jacksboro, TN
• Providers in Jacksboro, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.