Individual provider Active NPI

Cynthia Sampson

  • Physical Therapist
  • New York, NY
National Provider Identifier
1174229827
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
049681 Issued in NY
Practice address
9 E 40TH St FL 12
New York, NY 10016-0402
Phone
(646) 596-7427
NPI assigned
Feb 3, 2023
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 049681
Physical Therapist 225100000X 049681 NY Primary

Addresses

Primary practice location

9 E 40TH St FL 12
New York, NY 10016-0402

Mailing address

9 E 40TH St FL 12
New York, NY 10016-0402

Other practice location 1

473 FDR Dr
New York, NY 10002-2024
Phone (212) 475-2000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230524001191 NY Practitioner - Physical Therapist in Private Practice 5698131258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Touro Un Col of Osteopathic Medicine, New York, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Bespoke Treatments Physical Therapy PCGroup PAC ID 0042746240, 23 clinicians

Practice addresses (Care Compare)

9 E 40TH St
RM 1200
New York, NY 10016-0402
Phone (646) 596-7427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049681NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shair Home Care Physical Therapy PC CurrentSince Feb 1, 2023 Accepting new patients
Bespoke Treatments Physical Therapy PC CurrentSince Jan 11, 2026 Accepting new patients
S2 Physical Therapy P.C. Physical Therapist CurrentSince Apr 13, 2023 Accepting new patients

Locations

1 Bridge St
Ste 71
Irvington, NY 10533
Phone (914) 375-3434

1995 Broadway
Fl 15
New York, NY 10023
Phone (212) 712-2006

473 Fdr Dr
New York, NY 10002
Phone (212) 475-2000

9 E 40th St
Rm 1200
New York, NY 10016
Phone (646) 596-7427

Organizations & group practices 3

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": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1174229827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E 40TH ST FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 E 40TH ST FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160402",
            "telephone_number": "646-596-7427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "473 FDR Dr",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100022024",
            "country_code": "US",
            "telephone_number": "212-475-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "049681",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.