Anna Liza Samson Templo, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01203300 Issued in NJ

Practice address

11 Holt Dr
Stony Point, NY 10980-1919

Phone

(844) 777-0910

Fax

(201) 560-0712

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Anna Liza Quintana Samson Former name

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Kayal Orthopaedic, PLLCGroup PAC ID 7911385950, 16 clinicians

Kayal Medical Group, LLCGroup PAC ID 2961894019, 76 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anna.templo@ko.eclinicaldirectplus.com

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.

• Kayal Medical Group, LLC

  • Orthopaedic Surgery Physician
  • Franklin Lakes, NJ
  • NPI 1528729159

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Kayal Orthopaedic, PLLC

  • Orthopaedic Surgery Physician
  • Stony Point, NY
  • NPI 1164164455
  Medicare reassignment Care Compare group
• Hudson in Home Physical Therapy PLLC

  • Physical Therapist
  • Bronx, NY
  • NPI 1760748735
  Medicare reassignment NPD
• Chiropractic Works, LLC

  • Chiropractor
  • Oakland, NJ
  • NPI 1043468895

  Physical Therapist

  Medicare reassignment NPD
• Hudson Valley Integrated Medicine PLLC.

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Nanuet, NY
  • NPI 1073933313
  Medicare reassignment
• Hudson in Home Physical Therapy and Occupational Therapy PLLC

  • Physical Rehabilitation Occupational Therapist
  • Bronx, NY
  • NPI 1366197758

  Physical Therapist

  NPD
• Peak Medical Centers

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Paramus, NJ
  • NPI 1356913834

  Physical Therapist

  NPD
• Cohen & Garcha Podiatry, LLP

  • Podiatrist
  • Bronx, NY
  • NPI 1134331788
  NPD (past)
• Flowing Physical Therapy PLLC

  • Physical Therapist
  • Monsey, NY
  • NPI 1437561065
  NPD (past)
• Rockland Orthopedics and Sports Medicine PC

  • Specialist
  • Airmont, NY
  • NPI 1346257979
  NPD (past)
• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)
• Encompass Health Rehabilitation Hospital of Florence, Inc.

  • Rehabilitation Hospital
  • Florence, SC
  • NPI 1598738296
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1417038415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 FRANKLIN AVE STE 250",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171306",
            "telephone_number": "844-777-0910",
            "fax_number": "201-560-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HOLT DR",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109801919",
            "telephone_number": "844-777-0910",
            "fax_number": "201-560-0712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "784 Franklin Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Franklin Lakes",
            "state": "NJ",
            "postal_code": "074171306",
            "country_code": "US",
            "telephone_number": "844-777-0910",
            "fax_number": "201-560-0712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEMPLO",
        "first_name": "ANNA LIZA",
        "middle_name": "SAMSON",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01203300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA LIZA",
            "last_name": "SAMSON",
            "middle_name": "QUINTANA",
            "prefix": "MRS.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Stony Point, NY
• Providers in Stony Point, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.