Vishal Samuel, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT34398 Issued in FL

Practice address

4747 N Ocean Dr Ste 261
Lauderdale by the Sea, FL 33308-2956

Phone

(954) 545-4922

NPI assigned

Mar 20, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

On Site Physical Therapy LLCGroup PAC ID 7810916897, 21 clinicians

Practice addresses (Care Compare)

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.

• On Site Physical Therapy LLC

  • Physical Therapist
  • Jupiter, FL
  • NPI 1033318266
  Medicare reassignment Care Compare group NPD
• Back in Motion Sport & Spine Physical Therapy LLC

  • Physical Therapist
  • Fort Myers, FL
  • NPI 1831616416
  NPD

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1396205142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4737 N OCEAN DR STE 201",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333082920",
            "telephone_number": "954-545-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 N OCEAN DR STE 261",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333082956",
            "telephone_number": "954-545-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "VISHAL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "PT34398",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Pontes, COTA/L
• Reynald Pouliot, M.D.
• Richard Blanchar MD PA
• Luis G Rodas, PA
• German Alberto Rosales, DDS
• Tarvehale Saunders, RN, LMT
• See by the Sea Optical
• Sher Dental of Fort Lauderdale PA
• Sierra Dental Inc
• Carlos Louis Sierra

• Physical Therapist in Lauderdale by the Sea, FL
• Providers in Lauderdale by the Sea, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.