Samuel Leo Faust, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT296701 Issued in CA

Practice address

72880 Fred Waring Dr Ste B7
Palm Desert, CA 92260-9375

Phone

(760) 340-4050

NPI assigned

Jun 28, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1770145807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 STRYKER AVE",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014530",
            "telephone_number": "215-350-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72880 FRED WARING DR STE B7",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922609375",
            "telephone_number": "760-340-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "759 Stryker Ave",
            "address_purpose": "LOCATION",
            "city": "Doylestown",
            "state": "PA",
            "postal_code": "189014530",
            "country_code": "US",
            "telephone_number": "215-350-6714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAUST",
        "first_name": "SAMUEL",
        "middle_name": "LEO",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT296701",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT296701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magdalena Paz Fadic-Repetto, OT
• Rosalind Fahmy, M.D.
• Family Health & Support Network, Inc.
• Roxanna Farinpour, PHD
• Junaira Rabiya Faruk
• Aniya Meshalle Feazell
• Monee Ambriz Felix
• Valeria Felix
• Asante Diane Fennell, PA-C
• Rosa Maritza Fernandez Recinos

• Physical Therapist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.