Melvin Sam, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013481 Issued in GA

Practice address

1809 Canton Rd Ste 600
Marietta, GA 30066-6389

Phone

(404) 367-2086

Fax

(678) 213-1705

NPI assigned

Aug 25, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Advance Rehabilitation & Consulting Limited Partnership

  • Physical Therapist
  • Saint Marys, GA
  • NPI 1235434283

  Multi-Specialty

  Medicare reassignment NPD
• Advance Rehabilitation & Consulting Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Jasper, GA
  • NPI 1164115671

  Physical Therapist

  NPD

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1043687197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 949",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301620949",
            "telephone_number": "404-367-2086",
            "fax_number": "678-213-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 CANTON RD STE 600",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666389",
            "telephone_number": "404-367-2086",
            "fax_number": "678-213-1705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1839 Lenox Ave",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115544013",
            "country_code": "US",
            "telephone_number": "516-639-3551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1839 Lenox Ave",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115544013",
            "country_code": "US",
            "telephone_number": "516-639-3551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4125 Ironbound Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "23188",
            "country_code": "US",
            "telephone_number": "757-220-8383",
            "fax_number": "757-253-7833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4125 Ironbound Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "23188",
            "country_code": "US",
            "telephone_number": "757-220-8383",
            "fax_number": "757-253-7833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4125 Ironbound Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "23188",
            "country_code": "US",
            "telephone_number": "757-220-8383",
            "fax_number": "757-253-7833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAM",
        "first_name": "MELVIN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-25",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211586",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salon Joiere LLC (Salon JOIERE)
• Elyse Salvaggio Schmid, OTR/L
• Nichol Lynn Salvo, D.P.M.
• Salvuslabs LLC
• Diana L Salzmann, DC
• Pearl Sam, PMHNP-BC
• Sam's Club Optical (Sam's Club Optical 30-8203)
• Sara Sambandham, M.D.
• Terah Sampler, LPC
• Christina Leigh Samples

• Physical Therapist in Marietta, GA
• Providers in Marietta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.