Individual provider Active NPI

Samantha Galasso

  • Physical Therapist
  • Brick, NJ
National Provider Identifier
1952262024
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02386200 Issued in NJ
Practice address
317 Brick Blvd Ste 120
Brick, NJ 08723-6031
Phone
(732) 255-9500
NPI assigned
Nov 19, 2025
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 40QA02386200 NJ Primary

Addresses

Primary practice location

317 Brick Blvd Ste 120
Brick, NJ 08723-6031

Mailing address

1109 Neptune Ave
Beachwood, NJ 08722-3310

Other names 1

  • Samantha Wall Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251203004067 NJ Practitioner - Physical Therapist in Private Practice 8921591314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportscare of America, PCGroup PAC ID 9032213756, 132 clinicians

Practice addresses (Care Compare)

317 Brick Blvd
Suite 120
Brick, NJ 08723-6031
Phone (732) 255-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02386200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportscare of America, PC Physical Therapist CurrentSince Nov 17, 2025 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Nov 17, 2025 Accepting new patients
Sportscare Institute, Inc. Physical Therapist Past Accepting new patients

Locations

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255

317 Brick Blvd
Ste 120
Brick, NJ 08723
Phone (732) 255-9500

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

140 N Route 17
Ste 272
Paramus, NJ 07652
Phone (201) 261-4343

80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313

111 W Water St
Toms River, NJ 08753
Phone (732) 473-9440

Organizations & group practices 3

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": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1952262024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 NEPTUNE AVE",
            "city": "BEACHWOOD",
            "state": "NJ",
            "postal_code": "087223310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 BRICK BLVD STE 120",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236031",
            "telephone_number": "732-255-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALASSO",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-19",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02386200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "WALL",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.