Active NPI
Samantha Mayes, PT
- Physical Therapist
- Beaver Dam, KY
National Provider Identifier
1891188090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 005871
- Practice address
- 1595 S US Highway 231
Beaver Dam, KY 42320-9463 - Phone
- (270) 274-9646
- NPI assigned
- Mar 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 005871 | KY | Primary |
Addresses
Primary practice location
1595 S US Highway 231
Beaver Dam, KY 42320-9463
Mailing address
1595 S US Highway 231
Beaver Dam, KY 42320-9463
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
| License | State | Type | Specialty |
|---|---|---|---|
| 005871 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1891188090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1595 S US HIGHWAY 231",
"city": "BEAVER DAM",
"state": "KY",
"postal_code": "423209463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1595 S US HIGHWAY 231",
"city": "BEAVER DAM",
"state": "KY",
"postal_code": "423209463",
"telephone_number": "270-274-9646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYES",
"first_name": "SAMANTHA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-12",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "005871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaver Dam, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.