Samantha Lynn H. Nogueira Dwyer, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01750400 Issued in NJ

Practice address

461 Main St
Chatham, NJ 07928-2102

Phone

(973) 635-1000

NPI assigned

Sep 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jag-One Physical Therapy, LLC

  • Occupational Therapist
  • Chatham, NJ
  • NPI 1831660323
  NPD (past)

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1972086288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 DOCK WATCH HOLLOW RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070596926",
            "telephone_number": "908-507-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 MAIN ST",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282102",
            "telephone_number": "973-635-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Cedar Knolls Rd",
            "address_purpose": "LOCATION",
            "city": "Cedar Knolls",
            "state": "NJ",
            "postal_code": "079271621",
            "country_code": "US",
            "telephone_number": "973-998-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWYER",
        "first_name": "SAMANTHA LYNN",
        "middle_name": "H. NOGUEIRA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01750400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "40QA01750400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Ilya Dresdner, MSW
• Drug Fair Group, Inc.
• Kevin David Drumbore, DC
• John Edwin Duetsch Jr., DDS
• Elizabeth Duffy, OTR
• Kristen Ecklund, LPC
• Adelaide Ehlis, OTR/L
• Elsie C Estrada, MD
• Everas Community Services, Inc.
• Explore Chiropractic LLC

• Physical Therapist in Chatham, NJ
• Providers in Chatham, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.