Individual provider Active NPI

Samuel David Slepian

  • Physical Therapy Clinic/Center
  • Far Rockaway, NY
National Provider Identifier
1669188934
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
049642 Issued in NY
Practice address
710 Lanett Ave Apt B
Far Rockaway, NY 11691-5514
Phone
(908) 764-6679
NPI assigned
Jan 30, 2023
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 049642 NY Primary

Addresses

Primary practice location

710 Lanett Ave Apt B
Far Rockaway, NY 11691-5514

Mailing address

710 Lanett Ave Apt B
Far Rockaway, NY 11691-5514
Phone (908) 764-6679

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230214001011 NY Practitioner - Physical Therapist in Private Practice 1951773282 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Associates PT and OT, PLLCGroup PAC ID 6305015421, 7 clinicians
CH Rehabilitation Associates PT and OT PLLCGroup PAC ID 9133550817, 7 clinicians
Engage PT OT Performance PLLCGroup PAC ID 9638680820, 9 clinicians
Advantage PT Health Consulting PCGroup PAC ID 9931249802, 6 clinicians

Practice addresses (Care Compare)

2072 Ocean Ave
Apt 101
Brooklyn, NY 11230-7384
Phone (718) 616-1450

425 Kingston Ave
Brooklyn, NY 11225-3127
Phone (718) 616-1450

945 Broadway
Woodmere, NY 11598-1733
Phone (516) 374-5310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049642NYMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Engage PT OT Performance PLLC Physical Therapy CurrentSince Aug 11, 2025 Accepting new patients
Rehabilitation Associates PT and OT, PLLC Physical Therapy CurrentSince Jan 23, 2023 Accepting new patients
Bienetre Medical PC Physical Therapy CurrentSince Jul 6, 2025 Accepting new patients
CH Rehabilitation Associates PT & OT PLLC CurrentSince Jan 23, 2023 Accepting new patients
Advantage PT Health Consulting PC Physical Therapy CurrentSince Jul 1, 2025 Accepting new patients

Locations

425 Kingston Ave
Brooklyn, NY 11225
Phone (718) 616-1450

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

945 Broadway
Woodmere, NY 11598
Phone (516) 374-5310

Organizations & group practices 5

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": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1669188934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 LANETT AVE APT B",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915514",
            "telephone_number": "908-764-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 LANETT AVE APT B",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915514",
            "telephone_number": "908-764-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEPIAN",
        "first_name": "SAMUEL",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "049642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.