Active NPI
Samuel Warmberg, DPT
- Physical Therapist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 036221
- Practice address
- 1411 Avenue N
Apt F1
Brooklyn, NY 11230-5963 - Phone
- (347) 570-9258
- NPI assigned
- Oct 30, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P86190 | NY | |
| Physical Therapist | 225100000X | 036221 | NY | Primary |
Addresses
Primary practice location
1411 Avenue N
Apt F1
Brooklyn, NY 11230-5963
Mailing address
1411 Avenue N
Apt F1
Brooklyn, NY 11230-5963
Phone (347) 570-9258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Park St
Woodmere, NY 11598-2624
Phone (516) 500-1750
441 Route 306
Suite 2
Monsey, NY 10952-1234
Phone (718) 377-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036221 | NY | MD | Pharmacist |
| P86190 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahava Medical and Rehabilitation Center, LLC | Current | Accepting new patients | |
| On-Site Physical & Occupational Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Homeside Rehab, PT, OT, SLP LLC | Physical Therapist | Current | Accepting new patients |
Locations
16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500
2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108
441 Route 306
Ste 2
Monsey, NY 10952
Phone (201) 952-4436
296 Route 59
Ste 1225
Suffern, NY 10901
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Monsey, NY
- NPI 1023258431
Physical Therapist
-
- Physical Therapist
- Woodmere, NY
- NPI 1932521622
-
- Rehabilitation Practitioner
- Brooklyn, NY
- NPI 1184878274
-
- Physical Therapist
- Brooklyn, NY
- NPI 1134747884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1366796336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 AVENUE N",
"address_2": "APT F1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112305963",
"telephone_number": "347-570-9258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 AVENUE N",
"address_2": "APT F1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112305963",
"telephone_number": "347-570-9258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARMBERG",
"first_name": "SAMUEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-30",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "P86190",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "036221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.