Active NPI
Justin Sampson, PT, DPT
- Physical Therapist
- Forest City, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01707400
- Practice address
- 189 W Main St
Forest City, NC 28043-3051 - Phone
- (828) 417-0090
- NPI assigned
- Dec 7, 2016
- Last updated
- Jan 28, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP033593T | NC | |
| Physical Therapist | 225100000X | CP024954T | CO | |
| Physical Therapist | 225100000X | PT7013 | ME | |
| Physical Therapist | 225100000X | 40QA01707400 | NJ | Primary |
Addresses
Primary practice location
189 W Main St
Forest City, NC 28043-3051
Mailing address
PO Box 412313
Boston, MA 02241-2313
Phone (914) 294-4050
Other practice location 1
1248 S Broadway
Denver, CO 80210-1504
Phone (720) 699-9095
Other practice location 2
8101 E Lowry Blvd Ste 230
Denver, CO 80230-7195
Phone (303) 344-9090
Other practice location 3
1372 Route 9
Building #2
Toms River, NJ 08755-4038
Phone (732) 240-9296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, WA, NC, ME
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4022-4026 Route 9
Howell, NJ 07731-3315
Phone (732) 835-2055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP024954T | CO | MD | Physical Therapist |
| PT7013 | ME | MD | Physical Therapist |
| CP033593T | NC | MD | Physical Therapist |
| 40QA01707400 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saco Bay Orthopaedic and Sports Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Ivyrehab North Carolina LLC | Current | Accepting new patients | |
| Ivyrehab North Carolina LLC | Physical Therapist | Current | Accepting new patients |
| Atlantic Physical Therapy Center | Current | Accepting new patients | |
| Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Current | Accepting new patients | |
| Multicare Health System | Physical Therapist | Current | Accepting new patients |
| Atlantic Physical Therapy Center | Physical Therapist | Current | Accepting new patients |
Locations
400 North St
#2
Saco, ME 04072
Phone (207) 282-7121
111 Ossipee Trl E
Ste 1151
Standish, ME 04084
Phone (207) 227-6203
5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958
9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330
189 W Main St
Forest City, NC 28043
Phone (828) 417-0090
1037 Route 70
Manchester, NJ 08759
Phone (732) 408-1800
1500 Meeting House Rd
Sea Girt, NJ 08750
Phone (732) 784-6545
1372 Route 9
Bldg 2
Toms River, NJ 08755
Phone (732) 240-9296
407 E Main St
Auburn, WA 98002
Phone (253) 545-0044
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Organizations & group practices 10
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.
-
- Orthopedic Physical Therapist
- Toms River, NJ
- NPI 1801857917
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1629568647
Physical Therapist
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba Saco Bay Orthopaedic Sports & Physical Therapy
- Physical Therapist
- Saco, ME
- NPI 1346254315
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1528683935
-
- Hand Occupational Therapist
- Oakhurst, NJ
- NPI 1659945228
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba Saco Bay Orthopaedic Sports & Physical Therapy
- Physical Therapy Clinic/Center
- Westbrook, ME
- NPI 1396312807
-
dba Saco Bay Orthopaedic Sports & Physical Therapy
- Physical Therapy Clinic/Center
- Topsham, ME
- NPI 1760020929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1891239042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 412313",
"city": "BOSTON",
"state": "MA",
"postal_code": "022412313",
"telephone_number": "914-294-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 W MAIN ST",
"city": "FOREST CITY",
"state": "NC",
"postal_code": "280433051",
"telephone_number": "828-417-0090"
}
],
"practiceLocations": [
{
"address_1": "1248 S Broadway",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802101504",
"country_code": "US",
"telephone_number": "720-699-9095",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8101 E Lowry Blvd Ste 230",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802307195",
"country_code": "US",
"telephone_number": "303-344-9090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1372 Route 9",
"address_2": "Building #2",
"address_purpose": "LOCATION",
"city": "Toms River",
"state": "NJ",
"postal_code": "087554038",
"country_code": "US",
"telephone_number": "732-240-9296",
"fax_number": "732-240-9297",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMPSON",
"first_name": "JUSTIN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-07",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "CP033593T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "CP024954T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT7013",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01707400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.