Individual provider Active NPI

Desirae Rose Samiani

  • Physical Therapist
  • Endicott, NY
National Provider Identifier
1750925533
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2638 Magnolia St
Endicott, NY 13760-2375
Phone
(607) 341-2025
NPI assigned
Nov 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2638 Magnolia St
Endicott, NY 13760-2375

Mailing address

2638 Magnolia St
Endicott, NY 13760-2375

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220707003193 NY Practitioner - Physical Therapist in Private Practice 0042690091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas Janik Physical Therapy PCGroup PAC ID 8325933328, 5 clinicians

Practice addresses (Care Compare)

200 Front St
Suite D
Vestal, NY 13850-1559
Phone (607) 754-1776

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as group
Quality
85
Improvement activities
40
Cost
76.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Janik Physical Therapy, PC Physical Therapist CurrentSince Jun 6, 2022 Accepting new patients

Locations

200 Front St
Ste D
Vestal, NY 13850
Phone (607) 754-1776

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": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1750925533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2638 MAGNOLIA ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137602375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2638 MAGNOLIA ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137602375",
            "telephone_number": "607-341-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMIANI",
        "first_name": "DESIRAE",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Endicott, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.