Samuel J Min, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01655400 Issued in NJ

Practice address

100 Commerce Way Ste C
Hackensack, NJ 07601-6307

Phone

(201) 300-4447

NPI assigned

Apr 25, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Body Shop Physical Therapy and Wellness LLC

  • Physical Therapist
  • Hackensack, NJ
  • NPI 1326870114
  Medicare reassignment NPD Authorized official
• Plymouth Rehab Group LLC

  • Physical Therapist
  • Palisades Park, NJ
  • NPI 1760226161
  NPD Authorized official
• Sky Physical Therapy LLC

  • Physical Therapist
  • Fort Lee, NJ
  • NPI 1285243014
  NPD Authorized official
• New Jersey Rehab Pain Clinic PC

  • Physical Therapy Clinic/Center
  • Hasbrouck Heights, NJ
  • NPI 1982096392
  NPD

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1336674613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 BROAD AVE",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571002",
            "telephone_number": "201-840-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COMMERCE WAY STE C",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016307",
            "telephone_number": "201-300-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "SAMUEL",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-25",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01655400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Miller, M.D.
• Michelle Miller
• Mitchell A Miller, MD
• Robert James Miller, PH.D
• Asher Millman, PA-C
• Mina Abadeer DPM PC
• Mina Shaker MD
• Michael Mina, PA-C
• James Minall, PA
• Brenda Minetti, APN

• Physical Therapist in Hackensack, NJ
• Providers in Hackensack, 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 Dec 4, 2024; 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.