Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy Samms, PTA

Individual provider Physical Therapy Assistant · NPI 1174889646

Timothy Samms, PTA is a Physical Therapy Assistant in Kent, Washington. Licensed in California, Virginia and Washington. Registered with an NPI since 2012.

Licensed in
CA, VA, WA
In the registry since
2012
Specialties on file
3
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

25022 104th Ave SE Ste B
Kent, WA 98030-2822
Phone: (253) 856-0674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 60064080 (WA)
Physical Therapy Assistant Taxonomy 225200000X · Licence 8678 (CA)
Physical Therapy Assistant Taxonomy 225200000X · Licence 2306603095 (VA)

Record details

NPI number1174889646
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 9, 2012
Last updated in NPPESApril 9, 2012
Mailing addressPo Box 110865, Tacoma, WA 98411-0865

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