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Ebony Samuels

Physical Therapy Assistant β€’ Olney, MD

Active NPI 1871069419 Individual Practitioner Female Practitioner
Practice location in NPPES

18109 Prince Philip Dr Ste B200
Olney, MD 208321591

Call 3015707415 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

18109 Prince Philip Dr Ste B200

Olney, MD 208321591

Telephone 3015707415

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Olney and Maryland

21 active clinicians are listed under Physical Therapy Assistant with a practice address in Olney, MD (1,294 in Maryland).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Olney

0% of these 21 clinicians have the CMS telehealth indicator.

0% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Physical Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 225200000X

License # reported to NPPES MD A5202

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Maryland Board of Physicians.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Dr. Derek Bui , DO

Physical Medicine & Rehabilitation - Pain Medicine

NPI 1114581568

Doctor of Osteopathic Medicine (D.O.)

Dr. Thomas Heckman , DO

Physical Medicine & Rehabilitation - Pain Medicine

NPI 1861650913

Doctor of Osteopathic Medicine (D.O.)

Dr. Chmaika Mills , PhD

Clinical Neuropsychologist

NPI 1952959462

Doctor of Philosophy (Ph.D.)

Dr. Jason Pothast , MD

Physical Medicine & Rehabilitation - Sports Medicine

NPI 1508003971

Doctor of Medicine (M.D.)

Dr. Fariba Shah , MD

Physical Medicine & Rehabilitation

NPI 1689810384

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2019

Physical Therapy Assistant (license number reported to NPPES: MD A5202)

βœ…
NPI Profile Active October 22, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 22, 2018

Registered at 18109 PRINCE PHILIP DR STE B200, OLNEY, MD 208321591 (Tel: 3015707415)

πŸ“
Business Mailing Address (Initial Record) October 22, 2018

Registered at 12146 POND PINE DR, CLARKSBURG, MD 208714475 (Tel: 3529425151)

πŸ‘€
Provider Name / Credentials (Initial Record) October 22, 2018

Recorded as EBONY SAMUELS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2018

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration October 22, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1871069419
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 22, 2018
Last Update: August 12, 2019
Sole Proprietor: Yes

Mailing Address

12146 Pond Pine Dr

Clarksburg, MD 208714475

Phone: 3529425151

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.