Anitha Simon Samuel, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT40QA01043800 Issued in NJ

Practice address

302 Neumaier Dr
New Milford, NJ 07646-1238

Phone

(201) 265-5888

NPI assigned

Feb 5, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Anitha Simon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1033533518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 NEUMAIER DR",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076461238",
            "telephone_number": "201-265-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 NEUMAIER DR",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076461238",
            "telephone_number": "201-265-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "ANITHA",
        "middle_name": "SIMON",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037359",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "PT40QA01043800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITHA",
            "last_name": "SIMON",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danyella Vernell Rogers-Brown
• Donna Rosen, DDS
• Eric Stephan Rosen, DPM
• Paul Rossetti, RPH
• Cony V Salama Mohamed Salama, RN
• Lisa Marie Sandhusen
• Konstantina K Sarandeva Giesberg, DDS
• Lauren Sbarbaro, DPT
• Kristin Marie Schaffner, NURSE PRACTITIONER
• Kylie Schlesinger

• Physical Therapist in New Milford, NJ
• Providers in New Milford, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.