Individual provider Active NPI

Philip William Samko, PT ATC

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1396954061
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
AOQA00356000 Issued in NJ
Practice address
235 So 33Rd St
Univ of Pennsylvania Weightman Mall
Philadelphia, PA 19104
Phone
(215) 898-2822
Fax
(215) 898-2822
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 AOQA00356000 NJ Primary
Athletic Trainer 2255A2300X RT000317A PA

Addresses

Primary practice location

235 So 33Rd St
Univ of Pennsylvania Weightman Mall
Philadelphia, PA 19104

Mailing address

216 Welsh Ave
Bellmawr, NJ 08031
Phone (856) 419-2163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AOQA00356000NJMDPhysical Therapist
RT000317APAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1396954061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 WELSH AVE",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "08031",
            "telephone_number": "856-419-2163",
            "fax_number": "215-898-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 SO 33RD ST",
            "address_2": "UNIV OF PENNSYLVANIA WEIGHTMAN MALL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-898-2822",
            "fax_number": "215-898-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMKO",
        "first_name": "PHILIP",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PT ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "AOQA00356000",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT000317A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.