Individual provider Active NPI

Samar Mohamed Soliman, DPT

  • Physical Therapist
  • Si, NY
National Provider Identifier
1467576645
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022726-3 Issued in NY
Practice address
2052 Richmond Road
S.I., NY 10306-2548
Phone
(718) 351-2160
Fax
(718) 667-2166
NPI assigned
Mar 16, 2007
Last updated
May 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2010

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 022726-3 NY Primary
Physical Therapist 225100000X 022726-1 NY

Addresses

Primary practice location

2052 Richmond Road
S.I., NY 10306-2548

Mailing address

2052 Richmond Road
Staten Island, NY 10306-2548
Phone (718) 351-2160

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091023000420 NY Practitioner - Physical Therapist in Private Practice 6204973209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartshare Wellness LTDGroup PAC ID 8921992967, 11 clinicians

Practice addresses (Care Compare)

177 Livingston St
Brooklyn, NY 11201-7000
Phone (718) 797-2020

347 74TH St
Brooklyn, NY 11209-2509
Phone (718) 797-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
022726-1NYMDPhysical Therapist
022726-3NYMDPhysical Therapist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1467576645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 RICHMOND ROAD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062548",
            "telephone_number": "718-351-2160",
            "fax_number": "718-667-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 RICHMOND ROAD",
            "city": "S.I.",
            "state": "NY",
            "postal_code": "103062548",
            "telephone_number": "718-351-2160",
            "fax_number": "718-667-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIMAN",
        "first_name": "SAMAR",
        "middle_name": "MOHAMED",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022726-3",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022726-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Si, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.