Samuel Sparkman
NPI 1205494754ActiveIndividual· Physical Therapist· Lexington, KY
Physical Therapist in Lexington, Kentucky, trained at University of Kentucky College of Medicine (class of 2017). Medicare paid $13,128 for services to 22 patients in 2024.
Overview
| NPI | 1205494754 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 30, 2019 |
| Last updated in NPPES | Dec 2, 2020 |
| Certified by provider | Dec 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 007296 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 22 |
|---|---|
| Services billed | 629 across 10 procedure codes |
| Paid by Medicare | $13,128 |
Education and affiliations
| Medical school | University of Kentucky College of Medicine |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Mountain Therapy, LLCHazard, KY · 3 clinicians
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