Individual provider Active NPI

Samar Yunis, PT

  • Physical Therapist
  • Orlando, FL
National Provider Identifier
1023233699
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 7954 Issued in FL
Practice address
100 W Gore St
Suite 301
Orlando, FL 32806-1044
Phone
(407) 481-8861
Fax
(407) 481-8862
NPI assigned
Apr 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 7954 FL Primary

Addresses

Primary practice location

100 W Gore St
Suite 301
Orlando, FL 32806-1044

Mailing address

12944 Mallory Cir
Apt 101
Orlando, FL 32828-9097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250528000084 ME Practitioner - Physical Therapist in Private Practice 4082899877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jade Trade Inc.Group PAC ID 5597852913, 4 clinicians

Practice addresses (Care Compare)

1023 Washington Ave
Portland, ME 04103-2793
Phone (207) 773-5778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 7954FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jade Trade Inc. Physical Therapist CurrentSince May 7, 2025 Accepting new patients

Locations

12 Windorf Cir
Brunswick, ME 04011
Phone (207) 844-8280

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023233699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12944 MALLORY CIR",
            "address_2": "APT 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328289097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W GORE ST",
            "address_2": "SUITE 301",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061044",
            "telephone_number": "407-481-8861",
            "fax_number": "407-481-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNIS",
        "first_name": "SAMAR",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 7954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.