Julian Thomas Samodulski, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028654 Issued in NY

Practice address

68 W Main St
Oyster Bay, NY 11771-2284

Phone

(516) 340-9501

Fax

(516) 340-9501

NPI assigned

Jun 28, 2007

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Samodulski Physical Therapy PC

  • Orthopedic Physical Therapist
  • Oyster Bay, NY
  • NPI 1164012241
  Medicare reassignment NPD Authorized official
• Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC

  • Occupational Therapist
  • Garden City, NY
  • NPI 1356742365

  Physical Therapist

  Medicare reassignment NPD
• Promet Physical Therapy, PC

  • Physical Therapist
  • Kew Gardens, NY
  • NPI 1164738936
  NPD (past) Authorized official
• Promet Physical Therapy, PC

  • Physical Therapist
  • Manhassett, NY
  • NPI 1184281537
  NPD (past)

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1437356987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WEEKS AVE",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712308",
            "telephone_number": "516-340-9501",
            "fax_number": "516-340-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 W MAIN ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712284",
            "telephone_number": "516-340-9501",
            "fax_number": "516-340-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMODULSKI",
        "first_name": "JULIAN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03362714",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Ryga
• Bonnie Sager, O.D.
• Patricia Ellen Salvato, MA, CCC, SLP
• Samantha J Ratner DPM PLLC
• Samodulski Physical Therapy PC
• Katherine Samodulski, LMHC
• James Eugene Santelli Jr., DDS
• Joni Scheidt, MD
• Christopher Schrager, ATC
• Andrea Phyllis Sebo, R.N.

• Physical Therapist in Oyster Bay, NY
• Providers in Oyster Bay, 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 Jan 24, 2023; 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.