KIM SAMOSKY MPT, OCS, ATC - NPI 1639394414 - Physical Therapist in Riverside, CA

Q: What is Kim Samosky's NPI number?

The NPI number for Kim Samosky is 1639394414. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Q: What is Kim Samosky's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Q: When was this NPI record last updated?

The NPPES record for Kim Samosky was last updated on December 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kim Samosky Mpt, Ocs, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM SAMOSKY MPT, OCS, ATC (NPI 1639394414) is an individual sports provider in Riverside, California, licensed in California (25526) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1639394414

Entity TypeIndividualFemale

Primary Taxonomy2251S0007X

Provider Legal NameKIM SAMOSKYCredential: MPT, OCS, ATC

Location Address4444 MAGNOLIA AVERiverside, CA 92501-4136

Mailing Address4444 Magnolia AveRiverside, CA 92501-4136 · (951) 274-3524 · Fax (951) 274-3442

Phone(951) 274-3524

Fax(951) 274-3442

Sole ProprietorNo

Enumeration DateApril 16, 2007

Last NPPES UpdateDecember 1, 2021

✔ NPI 1639394414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251S0007X

License✔ Licensed in CA · 25526

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License 25526 (CA)

4444 MAGNOLIA AVE, Riverside, CA 92501

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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DE ANZA SURGERY CENTER

Clinic/Center (Ambulatory Surgical)

4444 MAGNOLIA AVE, SUITE C
RIVERSIDE, CA 92501

Riverside County (951) 320-7799

DANICA C MACIAS DPT

Physical Medicine & Rehabilitation