Individual provider Active NPI

Eric L Sampson, PT MDT

  • Orthopedic Physical Therapist
  • Seaford, NY
National Provider Identifier
1396725883
Registry record updated Jun 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
017874 Issued in NY
Practice address
3923 Laurel CT
Seaford, NY 11783-2643
Phone
(917) 848-0539
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 017874 NY Primary

Addresses

Primary practice location

3923 Laurel CT
Seaford, NY 11783-2643

Mailing address

3923 Laurel CT
Seaford, NY 11783-2643
Phone (917) 848-0539

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051219000118 NY Practitioner - Physical Therapist in Private Practice 9032130083 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RB Physical and Occupational Therapy, PLLCGroup PAC ID 5294870226, 312 clinicians

Practice addresses (Care Compare)

2555 Hempstead Tpke
Suite 1
East Meadow, NY 11554-2152
Phone (516) 735-1018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017874NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cindi a. Prentiss, PT.,PC. CurrentSince Nov 1, 2017 Accepting new patients
Ny Physical Therapy & Wellness LLC Orthopedic CurrentSince May 21, 2023 Accepting new patients
Advance Physical Therapy, P.C. CurrentSince May 1, 2017 Accepting new patients
RB Physical and Occupational Therapy PLLC Orthopedic CurrentSince Jul 17, 2023 Accepting new patients
One on One Physical Therapy Services PLLC PastSince Jul 17, 2023 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

2555 Hempstead Tpke
Ste 1
East Meadow, NY 11554
Phone (516) 418-2324

820 Hempstead Tpke
Franklin Square, NY 11010
Phone (516) 216-5230

650 Wantagh Ave
Ste 2
Levittown, NY 11756
Phone (516) 520-7200

910 Route 109
Lindenhurst, NY 11757
Phone (631) 546-5081

970 Wellwood Ave
Lindenhurst, NY 11757
Phone (631) 225-1289

231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224

4007 Merrick Rd
Seaford, NY 11783
Phone (516) 783-3420

59 Landing Ave
Ste 2
Smithtown, NY 11787
Phone (631) 361-5111

3430 Sunrise Hwy
Wantagh, NY 11793
Phone (516) 900-1600

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212796800000",
    "number": "1396725883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 LAUREL CT",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832643",
            "telephone_number": "917-848-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 LAUREL CT",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832643",
            "telephone_number": "917-848-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "ERIC",
        "middle_name": "L",
        "credential": "PT MDT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2008-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "017874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2008; 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.