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Active NPI 1063166692 Individual Practitioner Male Practitioner

Socheathdara Sam

Physical Therapy Assistant • Arlington, VA

Professional Overview & Biography Verified Profile Summary

Socheathdara Sam is a registered healthcare professional specializing in Physical Therapy Assistant in Arlington, VA. Practice services are available at 4040 FAIRFAX DR STE 120 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4040 Fairfax Dr Ste 120

Arlington, VA 222031613

Telephone 5717770918
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapy Assistant in Arlington, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
21 Specialists

Practicing in Arlington, VA (1799 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-27
Physical Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 225200000X

State License VA 2306606194

(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.

Secondary Practice Locations

6355 Walker Ln Ste 512

Alexandria, VA 223103251

Phone: 6355512223

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
Jane Uemura

Student in an Organized Health Care Education/Training Program

NPI 1073106647
Victoria Benavente , PT

Physical Therapist

NPI 1083178701

Physical Therapist

Ahmad Mutawak

Student in an Organized Health Care Education/Training Program

NPI 1124871843
Elizabeth Rothermel , MSPT

Physical Therapist

NPI 1134440423

Master of Science in Physical Therapy

Mitro Roman , STUDENT PTA

Student in an Organized Health Care Education/Training Program

NPI 1164004776

STUDENTPTA

Sara Wash

Student in an Organized Health Care Education/Training Program

NPI 1174405211

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 22, 2022

Registered at 4040 FAIRFAX DR STE 120, ARLINGTON, VA 222031613 (Tel: 5717770918)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2022

Physical Therapy Assistant (License #2306606194 in VA)

NPI Profile Active February 11, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location February 11, 2022

Registered at 6355 WALKER LN STE 512, ALEXANDRIA, VA 223103251 (Tel: 6355512223)

📍
Updated Business Mailing Address February 11, 2022

Registered at 3544 GALLOWS RD, ANNANDALE, VA 220031450 (Tel: 3019792951)

👤
Provider Name / Credentials Updated February 11, 2022

Recorded as SOCHEATHDARA SAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 11, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063166692
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 11, 2022
Last Update: December 27, 2023
Sole Proprietor: No

Mailing Address

3544 Gallows Rd

Annandale, VA 220031450

Phone: 3019792951

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.