Ranjith Samson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5503012063 Issued in MI

Practice address

148 S Main St
Leslie, MI 49251-2561

Phone

(517) 589-9050

Fax

(517) 589-9059

NPI assigned

May 2, 2007

Last updated

Jan 1, 2021By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sams Physical Therapy PCGroup PAC ID 0143372516, 3 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sams Physical Therapy PC

  • Physical Medicine & Rehabilitation Physician
  • Leslie, MI
  • NPI 1306073945

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Michigan Occupational Health Rehab, PC

  • Physical Therapy Clinic/Center
  • Lansing, MI
  • NPI 1144047523
  NPD Authorized official
• Jackson's Preferred Rehab

  • Physical Therapist
  • Grass Lake, MI
  • NPI 1609998954
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609459200000",
    "number": "1417179367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 S MAIN ST",
            "address_2": "PO BOX 158",
            "city": "LESLIE",
            "state": "MI",
            "postal_code": "492510158",
            "telephone_number": "517-589-9050",
            "fax_number": "517-589-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 S MAIN ST",
            "city": "LESLIE",
            "state": "MI",
            "postal_code": "492512561",
            "telephone_number": "517-589-9050",
            "fax_number": "517-589-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "RANJITH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2021-01-01",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5503012063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "650C811890",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "5503012063",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "562460025",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Joseph Mondragon, D.D.S.
• Rachelle Motes
• Gary Michael Prieskorn, PHARMACIST
• Riverstone Counseling LLC
• Sams Physical Therapy PC
• Teresa Schutte
• Stanley J Sczecienski, D.O.
• Marie Dawn Slisher, PA
• Desiree Lynette Smith, ATC
• Melissa Suco

• Physical Therapist in Leslie, MI
• Providers in Leslie, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2021; 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.