SAMANTHA RAE MILLER (NPI# 1639522584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639522584 |
| Entity Type | Individual |
| Full Name | SAMANTHA RAE MILLER |
| Credential | ATC |
| Practice Address |
335 Rural Ave Williamsport PA 17701-3340 |
| Practice Telephone | 5702200102 |
| Mailing Telephone | 5702200102 |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971863 | Samantha Lynne Miller | Psychologist | 34 S Broadway Ste 506, White Plains, NY 10601-4429 | 2020-04-26 |
| 1447817010 | Samantha Miller | Psychologist | 107 S Fair Oaks Ave Ste 219, Pasadena, CA 91105-2082 | 2019-05-20 |
| 1588178271 | Samantha Alexandra Miller | Dietitian, Registered | 115 Central Park W Ofc 14, New York, NY 10023-4198 | 2017-11-17 |
| 1780195420 | Samantha Miller | Clinic/Center | 3125 Clarksville St Apt 101, Paris, TX 75460-8050 | 2017-10-20 |
| 1477085736 | Samantha Alexis Miller | Social Worker | 2921 W 38th Ave # 190, Denver, CO 80211-2019 | 2017-03-28 |
| 1780082529 | Samantha Miller | Specialist/Technologist | 7447 Bard Rd, Tipp City, OH 45371-8937 | 2014-12-10 |
| 1831505080 | Samantha Miller | Physician Assistant | 4646 Brockton Ave Ste 101, Riverside, CA 92506-0103 | 2014-07-09 |
| 1558785832 | Samantha Jo Miller | Chiropractor | 7284 Dove St, Breezy Point, MN 56472-6746 | 2014-02-07 |
| 1508192956 | Samantha Miller | Social Worker | 273 S 2nd St, 3b, Brooklyn, NY 11211-5474 | 2009-10-20 |
| 1750580007 | Samantha C. Miller | Occupational Therapy Assistant | 1211 21st Ave, Mce 3rd Floor, South Tower, Room 3312, Nashville, TN 37232-0001 | 2007-07-17 |
| Street Address |
335 RURAL AVE |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-3340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003357336 | Keri Moriarity | Specialist/Technologist | 700 College Pl, Box 143, Williamsport, PA 17701-5157 | 2017-03-20 |
| 1710438742 | Derrick Winters | Specialist/Technologist | 1347 Catherine St, Williamsport, PA 17701-2513 | 2016-10-14 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1386049591 | Chad Woodside | Specialist/Technologist | 21 Huffman St, Williamsport, PA 17701-2157 | 2014-10-30 |
| 1992835623 | Brandyn Shane Charlton | Specialist/Technologist | 700 College Place, Lycoming College, Williamsport, PA 17701-5192 | 2007-03-06 |
| 1992834808 | Melissa Anne Loudenslager | Specialist/Technologist | 2990 W 4th St, Williamsport, PA 17701-9134 | 2007-03-05 |
| 1346384948 | Katie M Greene | Specialist/Technologist | 1 College Ave, Dif 38, Williamsport, PA 17701-5778 | 2007-02-16 |
| 1619059193 | Carmen Marie Terry | Specialist/Technologist | 1701 Grampian Blvd, Williamsport, PA 17701 | 2006-10-20 |
| 1114563111 | Andrea Lucas | Specialist/Technologist | 1 College Ave, Williamsport, PA 17701-5778 | 2019-11-25 |
| 1881193217 | Amanda Shadle | Specialist/Technologist | 1201 Grampian Blvd, Williamsport, PA 17701-1900 | 2018-02-12 |
| Find all providers in WILLIAMSPORT | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.