Sametta Shaw Lipiec, PHYSICALTHERAPIST AS

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

006173 Issued in NY

Practice address

120 Elizabeth St
Frankfort, NY 13340-3714

Phone

(315) 894-5095

Fax

(315) 894-8762

NPI assigned

Feb 17, 2016

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

Credentials

Associate of Science

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1962861088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ELIZABETH ST",
            "city": "FRANKFORT",
            "state": "NY",
            "postal_code": "133403714",
            "telephone_number": "315-894-5095",
            "fax_number": "315-894-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ELIZABETH ST",
            "city": "FRANKFORT",
            "state": "NY",
            "postal_code": "133403714",
            "telephone_number": "315-894-5095",
            "fax_number": "315-894-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW LIPIEC",
        "first_name": "SAMETTA",
        "name_prefix": "Mrs.",
        "credential": "PHYSICALTHERAPIST AS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "006173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Russo Jr., PT
• Rebecca Ann Salem, LPN
• Challee M Saltsman, LCSW
• Patricia Pettengill Scalise, COTA
• Jennifer T Scholl, LPN
• Simply Special Early Learning Center LLC
• Erica Rose Snell-Henrickson
• Denise L Snell
• Georgianne T Snell
• Melissa M Snyder

• All providers in Frankfort, NY
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.