Ebony Samuels

Physical Therapy Assistant · Olney, MD

Individual Active NPI

NPI number 1871069419

Practice location

18109 Prince Philip Dr Ste B200
Olney, MD 20832-1591
Phone
(301) 570-7415

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NPI record

NPI
1871069419
Entity type
Individual (Type 1)
Enumeration date
October 22, 2018
Last updated
August 12, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X A5202 MD
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

12146 Pond Pine Dr
Clarksburg, MD 20871-4475
Phone
(352) 942-5151

About Ebony Samuels

Ebony Samuels is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 18109 Prince Philip Dr Ste B200, Olney, MD 20832-1591. The NPI number 1871069419 was assigned on October 22, 2018 and the record was last updated on August 12, 2019.

Ebony Samuels lists a license in the registry: #A5202 (MD) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ebony Samuels?

The NPI number is 1871069419.

What is the phone number of Ebony Samuels?

The phone number listed for the practice location is (301) 570-7415.

Where is Ebony Samuels located?

18109 Prince Philip Dr Ste B200, Olney, MD 20832-1591.

What is the taxonomy code for Ebony Samuels?

The primary taxonomy code is 225200000X – Physical Therapy Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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