SAMANTHA JO STICKLEY (NPI# 1447565973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447565973 |
| Entity Type | Individual |
| Full Name | SAMANTHA JO STICKLEY |
| Credential | DPT |
| Practice Address |
1543 Country Club Rd Fairmont WV 26554-1306 |
| Mailing Address |
414 Blackberry Ridge Dr Morgantown WV 26508-4869 |
| Practice Telephone | 3043634599 |
| Mailing Telephone | 3042415524 |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2010-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2853 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1543 COUNTRY CLUB RD |
| City | FAIRMONT |
| State | WV |
| Zip Code | 26554-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073501466 | Wishing Well Manor, Inc. | Skilled Nursing Facility | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2005-10-10 |
| 1700486008 | Randi Dawnielle Davis | Nurse Practitioner | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2020-10-27 |
| 1083277222 | Breanna Marie Kalanish | Occupational Therapy Assistant | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2019-04-14 |
| 1124597935 | Kira Leigh Nixon | Occupational Therapy Assistant | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2018-11-21 |
| 1659860328 | Lara Nicole Angelilli | Speech-Language Pathologist | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2018-05-08 |
| 1487181095 | Debbie Stahl | Physical Therapy Assistant | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2017-05-12 |
| 1609270586 | Trinity Celapino | Physical Therapy Assistant | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2014-10-21 |
| 1649588948 | Ashley Nicole Kallop | Speech-Language Pathologist | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2010-09-21 |
| 1699081265 | Erica Nicole Mouser | Occupational Therapist | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2010-08-20 |
| 1972732816 | Lyndsay Marie Shaffer | Physical Therapist | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2009-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497680 | Vanquisha Clay | Technician | 118 Conaway St, Fairmont, WV 26554 | 2020-11-06 |
| 1851903363 | Denise S Greer | Technician | 1029 Prickett Road, Fairmont, WV 26554 | 2020-08-18 |
| 1730790775 | Darla Lee Mcrobie | Technician | 105 C'anna Square, Fairmont, WV 26554 | 2020-08-13 |
| 1376025718 | Jason Batten | Counselor | 621 Maryland Ave, Fairmont, WV 26554 | 2018-09-02 |
| 1437669066 | Ultimate Health & Wellness, LLC | Naturopath | 2862 Whitehall Blvd, Whitehall, WV 26554 | 2017-10-10 |
| 1457872376 | Michele R Lilley | Nurse Practitioner | 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 | 2017-06-30 |
| 1477906154 | Rebecca Hayes-merrill | Counselor | 212 Adams St., 3rd Floor, Fairmont, WV 26554 | 2016-07-19 |
| 1790173417 | Dennis Michael Lynch | Counselor | 5 Turf Lane, Fairmont, WV 26554 | 2015-01-05 |
| 1336558725 | Nicole Savage | Home Health Aide | 122 Abbott St, Fairmont, WV 26554 | 2014-08-11 |
| 1124434550 | Achuta Ram Aynampudi | Psychiatry & Neurology | 100 Stoney Hill Rd, Fairmont, WV 26554 | 2014-07-07 |
| Find all providers in zip 26554 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619581360 | Nicholas Ryan Landry | Physical Therapist | 719 Fairmont Ave Ste 102, Fairmont, WV 26554-5118 | 2020-09-01 |
| 1154833838 | Heather Duncan | Physical Therapist | Po Box 835, Fairmont, MN 56031-0835 | 2017-11-02 |
| 1154690220 | Lauren Peet | Physical Therapist | 51 Southland Dr Ste 2300, Fairmont, WV 26554-2244 | 2011-12-20 |
| 1467737239 | Christopher Ray Simons | Physical Therapist | 1543 Country Club Road, Fairmont, WV 26554 | 2011-10-12 |
| 1538465356 | Tracey E. Humphrey | Physical Therapist | 202 Opekiska Rd, Fairmont, WV 26554-8753 | 2011-01-27 |
| 1609108570 | Jill S Finley | Physical Therapist | 1509 Fairmont Ave, Fairmont, WV 26554-2135 | 2010-02-03 |
| 1982850335 | Eleanor Renton | Physical Therapist | Rr 3 Box 338b, Fairmont, WV 26554-9423 | 2008-08-15 |
| 1861698680 | Michael Kyle Barkley | Physical Therapist | 1499 Locust Ave, Fairmont, WV 26554 | 2007-06-27 |
| 1407057763 | Tarheel Developmental Therapy Services, Inc. | Physical Therapist | 602 E Gertrude St, Fairmont, NC 28340-2123 | 2007-05-31 |
| 1750454757 | Louise A Amrine | Physical Therapist | Rt 3 Box 338b, Winfield State Rt 73, Fairmont, WV 26554 | 2006-11-16 |
| Find all providers in FAIRMONT | ||||
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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.