Active NPI
Samantha Stith, PT
- Pediatric Physical Therapist
- Elizabethtown, KY
National Provider Identifier
1932790797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 004968
- Practice address
- 1111 Ring Rd
Elizabethtown, KY 42701-4900 - Phone
- (270) 706-5010
- NPI assigned
- Feb 3, 2021
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 004968 | KY | Primary |
Addresses
Primary practice location
1111 Ring Rd
Elizabethtown, KY 42701-4900
Mailing address
2735 Berrytown Rd
Rineyville, KY 40162-9737
Phone (270) 312-5452
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients |
Locations
1111 Ring Rd
Elizabethtown, KY 42701
Phone (270) 706-5010
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
2400 Eastpoint Pkwy
Ste 120
Louisville, KY 40223
Phone (502) 253-6689
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.
-
- Urgent Care Clinic/Center
- Louisville, KY
- NPI 1508269200
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1932790797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2735 BERRYTOWN RD",
"city": "RINEYVILLE",
"state": "KY",
"postal_code": "401629737",
"telephone_number": "270-312-5452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 RING RD",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427014900",
"telephone_number": "270-706-5010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STITH",
"first_name": "SAMANTHA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-03",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "KY",
"license": "004968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.