Individual provider Active NPI

Mary Charmel Morales Samonte, PT, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1881883841
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029130 Issued in NY
Practice address
856 46TH St
Brooklyn, NY 11220-1656
Phone
(718) 435-7000
Fax
(888) 878-8076
NPI assigned
Oct 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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 029130 NY Primary

Addresses

Primary practice location

856 46TH St
Brooklyn, NY 11220-1656

Mailing address

1 River PL
Suite 1711
New York, NY 10036-4343
Phone (212) 695-5782

Other practice location 1

1200 W Broadway
Suite 1
Hewlett, NY 11557-1913
Phone (212) 695-5782 ext. 1

Other identifiers 1

IdentifierTypeStateIssuer
029130OtherNYLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080415000783 NY Practitioner - Physical Therapist in Private Practice 5193803260 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
029130NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy in Motion PT OT, PLLC Physical Therapist CurrentSince Mar 11, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1881883841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIVER PL",
            "address_2": "SUITE 1711",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364343",
            "telephone_number": "212-695-5782",
            "fax_number": "888-878-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 46TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112201656",
            "telephone_number": "718-435-7000",
            "fax_number": "888-878-8076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 W Broadway",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Hewlett",
            "state": "NY",
            "postal_code": "115571913",
            "country_code": "US",
            "telephone_number": "212-695-5782 x1",
            "fax_number": "888-878-8076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMONTE",
        "first_name": "MARY CHARMEL",
        "middle_name": "MORALES",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "029130",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.