SAMANTHA YARC (NPI# 1356853931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356853931 |
| Entity Type | Individual |
| Full Name | SAMANTHA YARC |
| Credential | DPT |
| Practice Address |
2850 Johnson Ferry Rd Ste 100 Marietta GA 30062-5684 |
| Mailing Address |
Po Box 670207 Marietta GA 30066-0121 |
| Practice Telephone | 7706430868 |
| Practice Fax Number | 7706430869 |
| Mailing Telephone | 7706430868 |
| Mailing Fax Number | 7706430869 |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 1317282 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
013058 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2850 JOHNSON FERRY RD STE 100 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-5684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669013074 | Colleen M Simon | Physical Therapist | 2850 Johnson Ferry Rd Ste 100, Marietta, GA 30062-5684 | 2019-10-07 |
| 1104395813 | Benjamin Houston Keeling | Occupational Therapist | 2850 Johnson Ferry Rd Ste 100, Marietta, GA 30062-5684 | 2018-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023434560 | Lisa Copenhaver | Physical Therapist | 118 Rauch Dr, Marietta, OH 45750-9700 | 2014-03-07 |
| 1942362645 | Kimberly Ann Lewis | Physical Therapist | 2818 Tanner Lake Trl Nw, Marietta, GA 30064-1200 | 2006-12-16 |
| 1275605214 | Sherri M Lundquist | Physical Therapist | 3873 Seven Dials Ct, Marietta, GA 30062-4193 | 2006-11-14 |
| 1801843065 | Deborah Lee Giannotti | Physical Therapist | 1570 Brown Thrasher Ln, Marietta, GA 30062-2831 | 2006-05-30 |
| 1134749336 | Simplicity Therapy Group Inc | Physical Therapist | 1880 W Oak Pkwy Ste 101, Marietta, GA 30062-2274 | 2020-04-17 |
| 1619444114 | Kathryn Elizabeth Lansing | Physical Therapist | 1230 Johnson Ferry Pl Ste G10, Marietta, GA 30068-2045 | 2018-11-01 |
| 1255580239 | Building Blocks Pediatrics, LLC | Physical Therapist | 1230 Johnson Ferry Pl, I-20, Marietta, GA 30068-2048 | 2008-09-15 |
| 1427231489 | Meloni Cardell | Physical Therapist | 3565 Austell Rd Sw, Suite 11, Marietta, GA 30008-5769 | 2007-12-13 |
| 1427183318 | Debra Cofer | Physical Therapist | 3565 Austell Rd Sw, Suite 11, Marietta, GA 30008-5769 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379794 | Building Pathways Therapy LLC | Physical Therapist | 2124 Cheshire Bridge Rd Ne Apt 2006, Atlanta, GA 30324-5731 | 2020-09-04 |
| 1679191464 | Pt Mamas, LLC | Physical Therapist | 5660 Lake Forrest Dr, Atlanta, GA 30342-4635 | 2020-07-08 |
| 1336764869 | Outside The Box Pediatric Therapy Solutions | Physical Therapist | 123 Talbot Rd, Savannah, GA 31410-4015 | 2020-06-10 |
| 1215557921 | Carly Cee Witt Gesite | Physical Therapist | 11785 Northfall Ln Ste 501&502, Alpharetta, GA 30009-7971 | 2020-04-22 |
| 1669009627 | Rebecca Grant | Physical Therapist | 5461 Meridian Mark Rd Ste 300, Atlanta, GA 30342-4014 | 2020-03-26 |
| 1508401704 | Danielle Anderson | Physical Therapist | 2146 Thompson Ave Se, Covington, GA 30014-2819 | 2019-11-12 |
| 1124677919 | Therapy Trails of Evans | Physical Therapist | 536 Grand Slam Dr Ste D, Evans, GA 30809-8045 | 2019-09-05 |
| 1043877459 | Hop, Skip & Jump Pediatric Physical Therapy LLC | Physical Therapist | 912 Milledge Rd, Augusta, GA 30904-4455 | 2019-05-21 |
| 1255894366 | Cicely Annette Watson | Physical Therapist | 2620 Satellite Blvd Ste 100, Duluth, GA 30096-1291 | 2019-04-08 |
| 1942772975 | Wee Care Pediatric Therapy, LLC | Physical Therapist | 335 Old Rail Rd, Bloomingdale, GA 31302-4025 | 2019-01-02 |
| Find all providers with the same taxonomy | ||||
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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.