Healthcare Provider Details

I. General information

NPI: 1245976554
Provider Name (Legal Business Name): SAMMER HAMED PT, DPT, AT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2022
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10104 BREWSTER LN STE 180
POWELL OH
43065-7578
US

IV. Provider business mailing address

340 POLARIS PKWY
WESTERVILLE OH
43082-7971
US

V. Phone/Fax

Practice location:
  • Phone: 614-929-0463
  • Fax:
Mailing address:
  • Phone: 614-827-8700
  • Fax: 614-827-8701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT021836
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT006462
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: