Samantha Jane Fajardo-Legaspi, RN, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

053201 Issued in NY

Practice address

18 W End Ave
Great Neck, NY 11023-1212

Phone

(917) 732-3936

NPI assigned

Jun 20, 2022

Sex

Female

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1801527023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6459 223RD PL APT 250B",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642344",
            "telephone_number": "917-732-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W END AVE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231212",
            "telephone_number": "917-732-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJARDO-LEGASPI",
        "first_name": "SAMANTHA",
        "middle_name": "JANE",
        "name_prefix": "Miss",
        "credential": "RN, PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "053201",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "642748",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rico Fabillar, DPT
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• Allyssandra Failoga
• Stacey Faiman
• Lindsay Marie Faith, PT, DPT
• Donna Falk-Carter, RPA-C
• Emily Fallon
• Family Dentist of Great Neck
• Family Optometric Care, PC
• Andy Fan, M.D.

• Physical Therapist in Great Neck, NY
• Providers in Great Neck, 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 Oct 8, 2025; 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.