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SAMANTHA BERNARDO PAREDES

Deactivated

SAMANTHA BERNARDO PAREDES is a Physical Therapy Assistant healthcare provider located in ELLENWOOD, Georgia. NPI 1487201638 is deactivated in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ELLENWOOD, GA

This NPI has been deactivated. The record was deactivated on August 22, 2019. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1487201638
Provider Type
Individual
Gender
Female
NPI Issued
Aug 22, 2019
Last Updated
Apr 9, 2025
Deactivated
Aug 22, 2019
Licenses
2305213099 (VA)
CP042155T (GA)

Practice Information

Address
2838 E ATLANTA RD STE 2
ELLENWOOD, GA, 302942780
Browse GA providers · Browse ZIP 30294
Phone
6787823609
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in ELLENWOOD, GA

Name Credential NPI
TAMALA BLEVINS 1053486811
NIAH YVETTE FULFORD PT, DPT 1417071564
MONIQUE SIMMONS DILLARD PT 1790908572
MRS. DEBORAH JONES PT 1912106931
MISS LATALVIA PARAMORE PT 1063677201
FRANCINE ELLIS MPT 1831333707
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.